Superinfection of endometriosis presenting as a complex pelvic mass

Sadhbh A Lee, Michaela Larkin, Larkin M, Maeve Ruane, Ruane M, Sine Phelan, Phelan S, O'Leary MJ, Michael J O'Leary
International Journal of Gynecology & Obstetrics · 2025 · vol. 168(1) , pp. 399–401 · doi:10.1002/ijgo.15829 · PMID:39081175
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This case report describes a patient with endometriosis who presented as a complex pelvic mass due to superinfection, highlighting an unusual infectious complication of the disease.

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This case report describes a patient who presented with a large complex pelvic mass that was initially suspected to be ovarian carcinoma. Following surgical intervention, histopathological analysis confirmed the diagnosis of chronic superinfection within endometriotic tissue rather than malignancy. The authors highlight this rare presentation as a diagnostic challenge that can mimic more common and serious conditions like cancer. This paper is centrally about endometriosis — specifically focusing on the rare complication of superinfection within existing endometriotic lesions.

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Lee, S.A., Larkin, M., Ruane, M., Phelan, S. and O'Leary, M.J. (2025), Superinfection of endometriosis presenting as a complex pelvic mass. Int J Gynecol Obstet, 168: 399-401. https://doi.org/10.1002/ijgo.15829 A patient presented with a large complex pelvic mass, presumed an ovarian carcinoma. She underwent surgical management. Histopathology report revealed chronic superinfection of endometriosis. CONFLICT OF INTEREST STATEMENT The authors have no conflicts of interest. DATA AVAILABILITY STATEMENT Data sharing is not applicable to this article as no new data were created or analyzed in this study. REFERENCES 1Parasar P, Ozcan P, Terry KL. Endometriosis: epidemiology, diagnosis and clinical management. Curr Obstet Gynecol Rep. 2017; 6(1): 34-41. doi:10.1007/s13669-017-0187-1 2Barba M, Morciano A, Melocchi T, et al. Superinfection of rectovaginal endometriosis: case report and review of the literature. Diagnostics. 2023; 13(9):1514. doi:10.3390/diagnostics13091514 3Coutureau J, Mandoul C, Verheyden C, Millet I, Taourel P. Acute abdominal pain in women of reproductive age: keys to suggest a complication of endometriosis. Insights Imaging. 2023; 14(1): 94. doi:10.1186/s13244-023-01433-6 Total unique accesses to an article’s full text in HTML or PDF/ePDF format.More metric information Scite metrics Explore this article's citation statements on scite.ai Share QR Code Generating QR code QR code copied to clipboard! Something went wrong while generating your QR code. Please try again in a moment. If the issue persists, refresh the page or contact support. Export citation Unable to load citation data. Please try again in a moment. How to cite Elkins, L. J., & Spiegelman, M. (2021). pyUserCalc: A revised Jupyter notebook calculator for uranium-series disequilibria in basalts. Earth and Space Science, 8, e2020EA001619. https://doi.org/10.1029/2020EA001619 How to cite text copied to clipboard! Download Citation If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click on download. This feature enables you to download the bibliographic information (also called citation data, header data, or metadata) for the articles on our site. Citation manager file format Use the dropdown list to choose how to format the bibliographic data you're harvesting. Several citation manager formats are available, including EndNote and BibTex. You can then copy the formatted citation (as displayed) or download it as file, to your device. If the RefWorks format is chosen, the 'Download' button will be replaced with an option to directly export to RefWorks Please check your email for instructions on resetting your password. If you do not receive an email within 10 minutes, your email address may not be registered, and you may need to create a new Wiley Online Library account. Request Username Can't sign in? Forgot your username? Enter your email address below and we will send you your username If the address matches an existing account you will receive an email with instructions to retrieve your username

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endometriosis

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