Ruptured endometrioma mimicking ovarian malignancy: a case report and literature review

Radha Rani Seelam, Neha Varun, Jyoti Meena, Rajesh Kumari, Vatsla Dadhwal
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2025 · vol. 14(5) , pp. 1660–1664 · doi:10.18203/2320-1770.ijrcog20251263 · W4409877545
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⚙ AI-generated summary by claude@2026-06, 2026-06-06 ⓘ

This case report describes a ruptured endometrioma that mimicked ovarian malignancy in a perimenopausal female, emphasizing the need for a high index of suspicion given common presenting symptoms.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-06 ⓘ

This paper presents a case report and literature review of a perimenopausal female with an adnexal mass who developed a ruptured endometrioma that mimicked ovarian malignancy. It describes the clinical concern in this setting, emphasizing peritonitis features with rising serum CA-125 and CA19.9 levels, and the authors’ high “index of suspicion” for ruptured endometrioma when these findings co-occur. A limitation is that, as a single case with a literature review, the report cannot establish diagnostic accuracy or quantify how often ruptured endometrioma truly presents like cancer. This paper is centrally about endometriosis — it focuses on a ruptured endometrioma presenting with imaging and tumor-marker features that mimic ovarian malignancy.

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Abstract

In current practice endometriosis is a rising concern, involving all age groups and relatively less prevalent in perimenopausal age groups. It has a variety of presenting symptoms in perimenopausal age group including severe dysmenorrhoea, dyspareunia, infertility, chronic pelvic pain, abdominopelvic mass, acute abdomen with peritonitis and non-specific symptoms like gastritis, diarrhoea, rectal bleeding. High index of suspicion should be there to diagnose a ruptured endometrioma in a perimenopausal female with adnexal mass, peritonitis features and rising serum CA-125 and CA19.9 levels. Here we present a case of ruptured endometrioma mimicking ovarian malignancy in a perimenopausal female.

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Condition tags

endometriosisendometriomachronic_pelvic_paindysmenorrheadyspareuniainfertility

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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