Endometrioma: A Comprehensive Review of Its Varied Presentations, Complications, and Impact on Patient Management

Soumyadeep Ghosh, Karishma Mann, Kuldip Mann, Nabih Nakrour, Lauren J. Ray, Peter Movilla, Mukesh G. Harisinghani, Avinash Kambadakone, Anuradha S. Shenoy‐Bhangle
In: Journal of Gastrointestinal and Abdominal Radiology · 2025 · vol. 09(01) , pp. 069–089 · doi:10.1055/s-0045-1809315 · W4410593676
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This review details the typical and atypical imaging features, complications, and management implications of endometriomas, including their associations with infertility and potential for malignant transformation.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 ⓘ

The provided “paper body” is not the text of a biomedical research paper; it is a webpage describing an anti-bot Proof-of-Work system (Anubis) and contains no scientific content about endometrioma. Because the actual study methods, population, findings, and stated limitations are absent, a biomedical summary of the paper cannot be derived from the text available. The paper appears titled “Endometrioma: A Comprehensive Review of Its Varied Presentations, Complications, and Impact on Patient Management,” but no such review content is included in the supplied excerpt. This paper is centrally about endometriosis — an endometrioma is an endometriosis-related ovarian lesion, even though the requested summary cannot be completed from the provided non-biomedical text.

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Abstract

Endometriosis is a disease characterized by the presence of endometrium-like glands and/or stroma outside the uterus, usually with an associated inflammatory process. Endometrioma, a common manifestation of endometriosis, typically presents as an ovarian or adnexal cyst containing blood products at varying stages of degradation. While the typical ovarian/adnexal endometrioma is well recognized on imaging, atypical presentations and mimics can pose a diagnostic challenge. Endometriotic cysts can occur in unexpected locations, including within or on the surface of the liver, pancreas, peritoneum, and along the nerves, to name a few locations. Endometriomas can be associated with complications such as infection, rupture, and malignant transformation. An endometrioma is a marker of deep endometriosis, necessitating evaluation for the same. Endometriosis is seen in ∼50% of patients with infertility. Surgical management to improve fertility may include the excision of ovarian endometriomas with an impact on ovarian functional reserve. Finally, in pregnant patients, preexisting endometriomas may undergo decidualization and resemble ovarian malignancy, further adding to the diagnostic conundrum. This review article will describe the typical and atypical imaging features of an endometrioma, its associations, and complications, as well as its implications on patient management. Throughout this article, the term “endometriotic cyst” will be used for lesions located outside the ovary/adnexa.

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Condition tags

endometriosisendometriomainfertility

Citation neighborhood

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