Pelvic endometriosis presenting as a Supralevator abscess.
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A supralevator abscess in a 32-year-old woman resolved after surgery for pelvic endometriosis with infected endometrial cysts, highlighting endometriosis's varied presentations.
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Abstract
A 32-year-old woman presented with sepsis nine days after a transrectal incision and drainage of a recurrent supralevator abscess. The findings included a large mass arising from the pelvis containing multiple, leaking, and infected endometrial cysts. After a supracervical hysterectomy, bilateral salpingo-oophorectomy, sigmoid loop colostomy, appendectomy, and extensive irrigation and debridement, her condition improved with no recurrence at two-year follow-up. This case illustrates the varied presentations of endometriosis, the importance of identifying the source of a perirectal or perianal abscess, and that when a supralevator abscess develops from an intraabdominal process, the process must be addressed to prevent recurrence, fistulization, or other complications.
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- W1991726365 via openalex
- W2038536063 via openalex
- W2051325199 via openalex
- W2074808690 via openalex
Cited by (2)
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- europepmc
- last seen: 2026-06-17T06:13:18.893374+00:00
- openalex
- last seen: 2026-06-04T00:00:01.174412+00:00
- pubmed
- last seen: 2026-05-13T22:09:20.810540+00:00
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