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Case Reports
. 2010 Jun;83(2):73-5.

A rare case of de novo gigantic ovarian abscess within an endometrioma

Aisha Hameed  1 , Vaishali Mehta, Prabha Sinha
Affiliations
Case Reports

A rare case of de novo gigantic ovarian abscess within an endometrioma

Aisha Hameed et al. Yale J Biol Med. 2010 Jun.

Abstract

We are reporting a rare case of de novo ovarian abscess in an endometrioma. Ovarian abscess within an endometrioma is a rare gynecological problem, but de novo abscess in the endometrioma is even rarer. Most of the ovarian abscesses develop in the endometriomas following interventions, e.g., aspiration, pelvic surgery, and oocyte retrieval. We are presenting a case of a spontaneous giant abscess in a large ovarian cyst in a nulliparous woman who presented with acute abdomen. Patient was treated in a district general hospital with multidisciplinary approach. Thirteen liters of the pus were drained. She has had a sub total (supra cervical) hysterectomy and bilateral salpingo-oophorectomy (BSO) performed. Histology of the abscess wall confirmed endometriotic nature of the cyst. Patient made an uneventful recovery and was discharged home on the 14th postoperative day. This case highlights that endometrioma and its complication can present as a surgical emergency and should be dealt as one.

Keywords: endometrioma; ovarian abscess; supra-cervical subtotal abdominal hysterectomy.

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Figures

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Extent of ovarian abscess on computerized tomography.
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Gross appearance of right endometriotic cyst wall.
See this image and copyright information in PMC

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