Endometriomas in adolescents

Abstract

Objective: To report a rare presentation of bilateral endometriomas in an adolescent and describe characteristics of endometriomas.

Design: Case report.

Setting: Major academic medical center.

Patient(s): An 18-year-old G0 presented with an incidentally found 35-cm pelvic mass that was found to be bilateral endometriomas.

Intervention(s): Exploratory laparotomy with resection of endometrioma cyst walls and lysis of adhesions.

Main outcome measure(s): The incidence, pathogenesis, fertility implications, and treatment options for endometriomas in adolescents.

Result(s): Endometriomas are rare in adolescents. There are no case reports in the literature to date.

Conclusion(s): Endometriosis should be considered in adolescents presenting with bilateral complex ovarian masses regardless of their size.