Endometriotic Stones; Can they exist? A case report

Muneeb Ullah
In: Journal of Islamabad Medical & Dental College · 2022 · vol. 11(3) , pp. 188–193 · doi:10.35787/jimdc.v11i3.891 · W4297520627
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A case report describes the intraoperative discovery of rare endometriotic stones within an ovarian endometriotic cyst during a laparoscopic cystectomy in a young female patient.

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This paper is a case report describing a young woman diagnosed with an ovarian endometriotic cyst (an “endometriotic/chocolate cyst”) and undergoing a routine day-care laparoscopic cystectomy. Because definitive endometriosis diagnosis requires histopathology, the report presents a rare intraoperative observation: endometriotic stones, which the authors state have not been reported previously in their knowledge. The patient reportedly remained well postoperatively and was discharged the same evening. This paper is centrally about endometriosis — it documents a rare intraoperative finding of endometriotic stones during laparoscopic cystectomy for an endometriotic ovarian cyst.

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Abstract

Endometriosis is a gynaecological pathology that manifests as pelvic pain, infertility and cyclical issues. The presence of endometriotic tissue outside the uterus is the hallmark of endometriosis and commonest sites are ovaries, fallopian tubes, uterosacral ligaments and lateral pelvic peritoneum. Ovarian endometriotic cyst (EC) is typically a chocolate cyst that is often diagnosed by a combination of clinical history examination and radiological imaging. However, the definitive diagnosis requires histopathological confirmation. The management is complex and requires long term suppression of menstrual cycle and ovarian cystectomy. We hereby illustrate a case of a young female who presented with EC. During a routine daycare laparoscopic cystectomy, a rare finding of endometriotic stones was ascertained per-operatively. It has not been reported previously as per our knowledge. Patient remained well post operatively and was discharged in evening.
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Endometriotic Stones; Can they exist? A case report DOI: https://doi.org/10.35787/jimdc.v11i3.891Keywords: Endometriotic cyst, endometriosis, endometriotic stone, ovarian cyst, laparoscopic cystectomyAbstract Endometriosis is a gynaecological pathology that manifests as pelvic pain, infertility and cyclical issues. The presence of endometriotic tissue outside the uterus is the hallmark of endometriosis and commonest sites are ovaries, fallopian tubes, uterosacral ligaments and lateral pelvic peritoneum. Ovarian endometriotic cyst (EC) is typically a chocolate cyst that is often diagnosed by a combination of clinical history examination and radiological imaging. However, the definitive diagnosis requires histopathological confirmation. The management is complex and requires long term suppression of menstrual cycle and ovarian cystectomy. We hereby illustrate a case of a young female who presented with EC. During a routine daycare laparoscopic cystectomy, a rare finding of endometriotic stones was ascertained per-operatively. It has not been reported previously as per our knowledge. Patient remained well post operatively and was discharged in evening. Published Issue Section License This is an Open Access article distributed under the terms of the Creative Commons Attribution-Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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endometriosisinfertility

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