{"paper_id":"00a55be3-6bae-4cba-a3c3-837ca9ec3588","body_text":"Abstract\nBackground\nA pregnancy complicated by ovarian endometrioma is rare. Other complications of ovarian endometrioma in pregnancy, i.e., rupture and infection are also rare.\nCase\nA 35-year-old woman, gravida 2, para 0-0-1-0, at 35 weeks’ pregnancy, came to the hospital with a right abdominal pain. She also had a history of diarrhea. She had history of infertility and preexisting right endometrioma. The investigations revealed leukocytosis with neutrophils predominant. The preoperative diagnosis was acute appendicitis. Infected right ovarian endometrioma was demonstrated during exploratory laparotomy, opened and drainage of the right endometrioma and appendectomy were performed. The final diagnosis was infected ovarian endometrioma in pregnancy, later confirmed by a pathological report.\nConclusion\nAlthough complication of ovarian endometrioma such as infected endometrioma during pregnancy is rare, it should be included in the differential diagnosis of pelvic pain during pregnancy, especially in the patient who has history of ovarian endometrioma.\nSimilar content being viewed by others\nReferences\nAnderson M, Edmond RM (1974) Rupture of an endometriotic cyst in late pregnancy. J Obstet Gynaecol Br Commonw 81:907–909\nBlanchard AC, Pastorek JG Jr, Weeks T (1987) Pelvic inflammatory disease during pregnancy. South Med J 80:1363–1365\nD’Hooghe TM, Bambra CS, De Jonge I, Lauweryns JM, Raeymaekers BM, Koninckx PR (1997) The effect of pregnancy on endometriosis in baboons (Papio anubis, Papio cynocephalus). Arch Gynecol Obstet 261:15–19\nGhose AR, Vella EJ, Begg HB (1986) Bilateral salmonella salpingo-oophoritis. Postgrad Med J 62:227–228\nLipscomb GH, Ling FW, Photopulos GJ (1991) Ovarian abscess arising within an endometrioma. Obstet Gynecol 78:951–954\nLoh FH, Chua SP, Khalil R, Ng SC (1998) Case report of ruptured endometriotic cyst in pregnancy treated by laparoscopic ovarian cystectomy. Singapore Med J 39:368–369\nMcArthur JW, Ulfelder H (1965) The effect of pregnancy upon endometriosis. Obstet Gynecol Surv 20:709–733\nRossman F, D’Ablaing G III, Marrs RP (1983) Pregnancy complicated by ruptured endometrioma. Obstet Gynecol 62:519–521\nSteinberg P (1962) Endometrial cyst ruptured during pregnancy. Western J Surg 70:244–247\nVercellini P, Ferrari A, Vendola N, Carinelli SG (1992) Growth and rupture of an ovarian endometrioma in pregnancy. Int J Gynaecol Obstet 37:203–205\nAuthor information\nAuthors and Affiliations\nCorresponding author\nRights and permissions\nAbout this article\nCite this article\nPhupong, V., Rungruxsirivorn, T., Tantbirojn, P. et al. Infected endometrioma in pregnancy masquerading as acute appendicitis. Arch Gynecol Obstet 269, 219–220 (2004). https://doi.org/10.1007/s00404-003-0569-7\nReceived:\nAccepted:\nPublished:\nIssue date:\nDOI: https://doi.org/10.1007/s00404-003-0569-7","source_license":"CC0","license_restricted":false}