{"paper_id":"b5889c8a-8d11-4deb-b0a3-fc61a0642881","body_text":"A rare case report of extensive abdominopelvic endometriosis mimicking peritoneal malignancy: an imaging investigation\n- PDF |\n- DOI: https://doi.org/10.15562/bmj.v9i2.1811 |\n- Published: 2020-08-01\n- Warissara Jutidamrongphan ,\n- Thorsang Chayovan ,\n- Teeravut Tubtawee ,\n- Keerati Hongsakul ,\nDepartment of Radiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand\nSearch for the other articles from the author in:\nGoogle Scholar | PubMed | BMJ Journal\nDepartment of Radiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand\nSearch for the other articles from the author in:\nGoogle Scholar | PubMed | BMJ Journal\nDepartment of Radiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand\nSearch for the other articles from the author in:\nGoogle Scholar | PubMed | BMJ Journal\nDepartment of Radiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand\nSearch for the other articles from the author in:\nGoogle Scholar | PubMed | BMJ Journal\n- PDF |\n- DOI: https://doi.org/10.15562/bmj.v9i2.1811 |\n- Published: 2020-08-01\nIntroduction: Endometriosis is a benign condition characterized by endometrial tissue deposited outside the uterine cavity. Endometriosis characteristics include a well-defined cyst (endometrioma) with or without internal septations and seeding nodules; however, no case of extensive infiltrating abdominopelvic endometriosis have been reported.\nCase presentation: A 48-year-old female presented with incidentally found a hypervascular lesion in the pelvic cavity from routine checkup ultrasound. The computed tomography (CT) angiography investigation showed pelvic arteriovenous malformation (AVM). She underwent embolization at interventional radiology unit and the CT angiography follow up showed complete occlusion of pelvic AVM. However, eight months after embolization, she came with severe abdominal pain and hypotension. Emergency CT showed a large abdominopelvic mass with hemoperitoneum which was suspected for gynecologic or peritoneal malignancy. Further magnetic resonance image (MRI) was highly suspicious of peritoneum or mesentery malignancy. Surgical tumor removal was performed. The histologic results were negative for malignancy and the tumor was compatible with endometriosis.\nConclusion: Extensive abdominopelvic endometriosis is rare, and its imaging findings may not exclude peritoneal malignancy. Therefore, a definite diagnosis via histological investigation is necessary.\nÂ\n- Chu YJ, Ryeom H, Lee SY, Kim GC, Cho SH, Lee J, et al. The diagnostic usefulness of ultrasound-guided peritoneal biopsy for the solitary peritoneal thickening of an unknown cause visualized as only infiltrated fat tissue on a CT scan. Journal of the Korean Society of Radiology. 2018;78(4):225–34.\n- Shanmuga Jayanthan S, Shashikala G, Arathi N. Perineal scar endometriosis. Indian Journal of Radiology and Imaging. 2019;29(4):457–61.\n- Collins BG, Ankola A, Gola S, McGillen KL. Transvaginal US of endometriosis: Looking beyond the endometrioma with a dedicated protocol. RadioGraphics. 2019;39(5):1549–68.\n- Woodward PJ, Sohaey R, Mezzetti Jr TP. 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American Journal of Roentgenology. 2010;194(6):WS34–46.\nJutidamrongphan, W., Chayovan, T., Tubtawee, T., & Hongsakul, K. (2020). A rare case report of extensive abdominopelvic endometriosis mimicking peritoneal malignancy: an imaging investigation. Bali Medical Journal, 9(2), 582–586. https://doi.org/10.15562/bmj.v9i2.1811\nWarissara Jutidamrongphan\nGoogle Scholar Pubmed\nBMJ Journal\nThorsang Chayovan\nGoogle Scholar Pubmed\nBMJ Journal\nTeeravut Tubtawee\nGoogle Scholar Pubmed\nBMJ Journal\nKeerati Hongsakul\nGoogle Scholar Pubmed\nBMJ Journal\n- Bali Medical Journal, Bali-Indonesia\n- +62 812-3999-2269\n- +62 812-3999-2269\n- editorbalimedicaljournal@gmail.com\nCopyright © DiscoverSys Inc","source_license":"CC0","license_restricted":false}