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Introduction: GJB2 mutations are reported as the most common genetic factor involved in sensorineural hearing loss. The enlargement of the vestibular aqueduct represents the most frequent inner ear malformation seen in people with sensorineural hearing loss occured in early childhood. The association of these two impairing conditions is considered very rarely. Methods: We present a case of a 9 years old girl, diagnosed with assymetric sensorineural hearing loss due to the fluctuations of hearing in the best ear, which induced periodically communication difficulties. Results: The audiological subjective and objective assessments showed in last 5 years a stable profound deafness on the left ear and different hearing thresholds, from severe to profound, on the right ear. Despite of the good results with hearing aid on the right side, the instability of the hearing with often periods of impossibility of communication, recommended the cochlear implantation on the opposite ear. The fluctuating nature of the hearing loss raise the issue of differential diagnosis of causes. The imagistic results (MRI and CT scan) sugest a bilateral enlarged vestibular aqueducts with no other inner ear abnormalities. The genetic tests showed a biallelic GJB2 mutation. In this special case, the recommended cochlear implantation offered to the patient the necessary constant hearing for communication. Conclusions: Fluctuating sensorineural hearing loss in children is a condition that may damage the communication and language acquisition. The ensurence of a constant auditory input in these situations requires cochlear implantation in the most damaged ear. This case presents a rare combination of two causes that can cause deafness. In this situation is almost impossible to determine the exact etiology of the disease.

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Endometriosis became a public health problem both due to the increasing number of affected patients and the severe quality of life impairment. Cervical endometriosis is defined as the presence of endometrial glands and stroma at cervical level. Primary and secondary cervical endometriosis are two separates entities that require distinct management. Symptomatic cases diagnosed with primary cervical endometriosis have indication for ERAD while patients with secondary cervical endometriosis should be referred to a specialized center because the surgical treatment may imply a high degree of difficulty. We present a 24-year-old woman with no history of cervical interventions, first diagnosed with cervical displasia and referred to our center for a second opinion. Secondary cervical endometriosis and vaginal endometriotic nodule were diagnosed. Following the general consensus for the benefits of surgery for endometriosis associated with pelvic pain, the patient was considered a candidate for laparoscopic surgery. Complete resection of the endometriotic tissue including the vaginal nodule with laparoscopic suture of the vaginal wall was realized. Laparoscopic surgery for endometriosis is proven to improve the patients’ quality of life, diminishing the symptoms and increases the likelihood of obtaining a spontaneous pregnancy. The presented case illustrates the benefits of surgery for secondary cervical endometriosis with marker improvement in quality of life proven with EHP-30 up to 2 years after surgery.