Laparoscopic management of massive recurrent endometrioma with atypical presentation: A case report
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This case report describes the laparoscopic management of a massive recurrent ovarian endometrioma measuring nearly 30 cm, which presented atypically with increased abdominal girth and required evacuation of over 11 liters of fluid.
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Abstract
Endometriosis affects 10%–15 % of reproductive age group population. Pelvic endometriosis usually involves ovaries, and it is reported to involve both ovaries in one-third to one-half of cases. Ovarian endometriomas rarely exceed 10–15 cm in diameter. Our case is that of a 31-year-old P1L1 who presented with increasing abdominal girth, and imaging revealed a huge cystic mass extending till the diaphragm around 29 × 24 × 19 cm 3 which was later found to be a case of recurrent endometriosis. This was managed by laparoscopy, and the volume of the chocolate fluid evacuated was approximately 11,300 mL. It is rare for endometriomas to grow up to such a large size. This case stresses the importance of suspicion of recurrent endometrioma even in atypical presentations and the need for follow-up in known cases of endometriosis to identify early recurrence.
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- Endometriosis via openalex
- Huge ovarian endometrioma that grew after menopause: Case report via openalex
- W2069935880 via openalex
- W2083056555 via openalex
- W2108477749 via openalex
- W2744514830 via openalex
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