Successful treatment of infected ovarian endometrial cyst with preserved ovarian function using two-stage surgery following laparoscopic drainage

Kana Inukai, Ayako Osafune, Chieko Aoki, Kei Hattori, Yuko Kobayashi, Kazumasa Mogi, Junko Matsui, Tomokazu Umezu
In: JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY · 2018 · vol. 34(2) , pp. 193–198 · doi:10.5180/jsgoe.34.2_193 · W2905746816
article OA: diamond CC0
🔓 Open OA copy Full text JSON View on OpenAlex View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-12 ⓘ

This study describes a two-stage laparoscopic surgery for an infected ovarian endometrial cyst, where initial drainage followed by cystectomy preserved ovarian function.

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, 2026-06-12 · read from full text ⓘ

This case report studied the management of an infected ovarian endometrial (endometriotic) cyst in a 34-year-old woman presenting with acute abdominal pain and a 7-cm pelvic cyst with severe inflammation. After antibiotics were not effective, the authors performed laparoscopic drainage, which improved the inflammatory reaction, and then conducted laparoscopic ovarian cystectomy as a second-stage procedure 3 months later. The key finding was that two-stage surgery after initial drainage enabled ovarian function preservation (organ-conserving management). This paper is centrally about endometriosis — specifically, a case of infected ovarian endometriotic cyst treated with laparoscopic drainage followed by second-look cystectomy for ovarian preservation.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

Surgery is used for acute abdomen due to endometriosis when antibiotic treatment is no longer effective, and adnexectomy may be necessary. We report a case in which laparoscopic drainage was used to control infection, with subsequent laparoscopic ovarian cystectomy in two-stage surgery, enabling organ-preserving management. A 34-year-old woman presented with abdominal pain for 1 day, and was found to have severe inflammation and a 7-cm pelvic cyst. Antibiotic treatment was administered for an infected endometrial cyst. As antibiotic treatment was not effective, we performed laparoscopic drainage, and the inflammatory reaction improved. Laparoscopic ovarian cystectomy was performed 3 months after the initial operation. The results suggest that a second-look surgery is useful for ovarian conservation because laparoscopic drainage is minimally invasive and effective.
Full text 985 characters · extracted from oa-doi-fallback · click to expand
症例報告 腹腔鏡下ドレナージが著効し二期的手術を行うことで卵巣温存が可能となった卵巣子宮内膜症性嚢胞感染の一例 2018 年 34 巻 2 号 p. 193-198 詳細 抄録 Surgery is used for acute abdomen due to endometriosis when antibiotic treatment is no longer effective, and adnexectomy may be necessary. We report a case in which laparoscopic drainage was used to control infection, with subsequent laparoscopic ovarian cystectomy in two-stage surgery, enabling organ-preserving management. A 34-year-old woman presented with abdominal pain for 1 day, and was found to have severe inflammation and a 7-cm pelvic cyst. Antibiotic treatment was administered for an infected endometrial cyst. As antibiotic treatment was not effective, we performed laparoscopic drainage, and the inflammatory reaction improved. Laparoscopic ovarian cystectomy was performed 3 months after the initial operation. The results suggest that a second-look surgery is useful for ovarian conservation because laparoscopic drainage is minimally invasive and effective. © 2018 日本産科婦人科内視鏡学会

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

endometriosis

Citation neighborhood (no data yet)

We don't have any in-corpus citations linked to this paper yet. The paper's references may be in our DB but unresolved to ``paper_id`` (resolution happens at ingest when the cited DOI matches a row we already have). Run the cross-source citation reconcile pass to retry.

References (8)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0 · commercial use OK