Huge ovarian endometrioma—a case report

Levent Yaşar, Ataç Sönmez, Ali Galip Zebitay, Gezer Neslihan, H. F. Yazicioǧlu, Gülseven Mehmetoğlu
In: Gynecological Surgery · 2009 · vol. 7(4) , pp. 365–367 · doi:10.1007/s10397-009-0482-6 · W1990945367
article OA: closed CC0 ⤵ 6 in-corpus citations
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

This report details a rare case of a 26 cm, 5 kg ovarian endometrioma in a 33-year-old woman, diagnosed definitively by postoperative pathology despite preoperative findings suggestive of malignancy.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This paper is a case report of a 33-year-old woman with a very large abdominopelvic septated cystic mass (24.3 × 17.6 × 16.6 cm; ~5 kg; 26 × 18 × 17 cm) that extended to the xiphoid, evaluated with ultrasonography showing no neovascularization and mild CA125 elevation but a more prominent CA19-9 increase. Despite differential diagnosis concerns because the mass resembled ovarian cancer (multiple thick internal septations and high CA19-9), she underwent right salpingo-oophorectomy; frozen section and final pathology confirmed a benign endometrioma containing 3,250 ml of chocolate-brown fluid and hemorrhagic necrotic endometrial tissue. A key limitation is that, as a single case, it cannot establish diagnostic accuracy or generalizable markers, and preoperative imaging did not yield a definitive diagnosis. This paper is centrally about endometriosis — specifically a rare report of a huge ovarian endometrioma misdiagnosed preoperatively.

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endometrioma

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