Recurrence of endometrioma, four months after laparoscopic excision: a case report

Ayako Suzuki, Rieko Kanda, Naoko Fukuda, Hisami Kiseki, Makoto Kawamura, Yutaka Tsukahara, Naohiko Hashimura
In: JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY · 2013 · vol. 29(1) , pp. 195–200 · doi:10.5180/jsgoe.29.195 · W2332397219
article OA: bronze CC0
🔓 Open OA copy Full text JSON View on OpenAlex View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-13 ⓘ

This case report details a 25-year-old woman's endometrioma recurrence four months after laparoscopic excision, prompting a second surgery despite oral contraceptive use.

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, 2026-06-13 · read from full text ⓘ

This paper is a 2013 case report describing rapid recurrence of an ovarian endometrioma four months after laparoscopic excision in a 25-year-old woman with endometriosis for more than seven years. The patient underwent laparoscopic removal of the lesion (after six months of GnRHa therapy) and then started oral contraceptives two months after surgery; despite this, the endometrioma enlarged and a second laparoscopic excision was performed with the lesion removed macroscopically. The authors note a limitation of the evidence inherent to a single-case report and propose that recurrence may have been related to timing, specifically starting oral contraceptives after resumption of menses, implying that earlier postoperative medication might matter. This paper is centrally about endometriosis — it documents recurrence of an ovarian endometrioma shortly after laparoscopic excision and discusses potential perioperative factors influencing relapse.

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

Abstract

Endometriosis is a chronic disease that occurs roughly in 10% of women. Endometriosis can be found in anywhere in the body, but the most common lesions are in the ovary, known as endometrioma and accounting for 55% of endometriosis. Laparoscopic excision is the most frequently chosen form of treatment for endometrioma, to reduce pelvic pain and prevent loss of fertility. There is a problem with endometrioma recurrence after surgery, however. The recurrence rate is said to be almost 30% three to five years after surgery, and prophylaxis of endometrioma recurrence is thus a major issue. We experienced a case of endometrioma relapse in the same ovary after four months of laparoscopic surgery in a 25-year old woman who had suffered with endometrioma for more than seven years. The size of the endometrioma began to increase so we decided to operate after GnRHa therapy for six months. Two months after laparoscopic excision, we started to use oral contraceptives to avoid recurrence, but this occurred anyway, four months after the laparoscopic surgery, so a second laparoscopic excision was performed. We were sure to remove the whole lesion macroscopically, and again used oral contraceptives to prevent recurrence for two months after operation. One possible reason for the recurrence is that we started to use oral contraceptives after the resumption of menses. It may be that the most important way to prevent recurrence is to start medication therapy soon after the laparoscopic excision.
Full text 2,176 characters · extracted from oa-doi-fallback · click to expand
Case report Recurrence of endometrioma, four months after laparoscopic excision: a case report 2013 Volume 29 Issue 1 Pages 195-200 Details Abstract Endometriosis is a chronic disease that occurs roughly in 10% of women. Endometriosis can be found in anywhere in the body, but the most common lesions are in the ovary, known as endometrioma and accounting for 55% of endometriosis. Laparoscopic excision is the most frequently chosen form of treatment for endometrioma, to reduce pelvic pain and prevent loss of fertility. There is a problem with endometrioma recurrence after surgery, however. The recurrence rate is said to be almost 30% three to five years after surgery, and prophylaxis of endometrioma recurrence is thus a major issue. We experienced a case of endometrioma relapse in the same ovary after four months of laparoscopic surgery in a 25-year old woman who had suffered with endometrioma for more than seven years. The size of the endometrioma began to increase so we decided to operate after GnRHa therapy for six months. Two months after laparoscopic excision, we started to use oral contraceptives to avoid recurrence, but this occurred anyway, four months after the laparoscopic surgery, so a second laparoscopic excision was performed. We were sure to remove the whole lesion macroscopically, and again used oral contraceptives to prevent recurrence for two months after operation. One possible reason for the recurrence is that we started to use oral contraceptives after the resumption of menses. It may be that the most important way to prevent recurrence is to start medication therapy soon after the laparoscopic excision. We were sure to remove the whole lesion macroscopically, and again used oral contraceptives to prevent recurrence for two months after operation. One possible reason for the recurrence is that we started to use oral contraceptives after the resumption of menses. It may be that the most important way to prevent recurrence is to start medication therapy soon after the laparoscopic excision. © 2013 Japan Society of Gynecologic and Obstetric Endoscopy and Minimally Invasive Therapy Favorites & Alerts Recently viewed articles

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

endometriosisendometrioma

Citation neighborhood (sparse)

Too few in-corpus citations on either side for a chart; here are the lists.

Cites (4)

References (6)

Source provenance

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