Acute abdominal pain revealing ruptured ovarian endometrioma

V. Restouilh, P. Kauffmann, Pierrick Le Borgne
In: Annales françaises de médecine d’urgence · 2025 · vol. 15(3) , pp. 175–176 · doi:10.1684/afmu.2025.0635 · W4407392579
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-08-04 ⓘ

This case report details a patient presenting with acute abdominal pain caused by a ruptured ovarian endometrioma, a rare but significant cause of gynecological emergencies.

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This case report describes a 39-year-old woman with severe endometriosis who presented to the emergency department with acute right iliac fossa pain and signs of hemodynamic instability while undergoing anticoagulation therapy for recent deep vein thrombosis. Clinical evaluation revealed hypotension and abdominal defense, leading to the diagnosis of a ruptured ovarian endometrioma as the cause of her acute abdomen. The authors highlight the diagnostic challenge posed by the patient's complex medical history, including recurrent gastric ulcers and recent postpartum thrombosis, which complicated the immediate assessment of hemorrhagic shock. This paper is centrally about endometriosis — specifically the acute surgical complication of a ruptured ovarian endometrioma in a patient on anticoagulants.

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Abstract

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Annales françaises de médecine d'urgence MENUDouleur abdominale aiguë secondaire à la rupture d’un endométriome ovarien Volume 15, numéro 3, Mai-Juin 2025 Illustrations 1 Service d’Accueil des urgences, Hôpitaux universitaires de Strasbourg, 1, avenue Molière, F-67098 Strasbourg, France 2 UMR 1260 (Inserm), Faculté de médecine, Université de Strasbourg, 4, Rue Kirschleger, F-67000 Strasbourg, France * Correspondance : P. Le Borgne ; [email protected] - DOI : 10.1684/afmu.2025.0635 - Page(s) : 175-6 - Année de parution : 2025 Une femme de 39 ans, ayant des antécédents d’endométriose sévère, d’hypertension artérielle et d’ulcères gastriques récidivants, a été admise aux urgences en raison d’une douleur abdominale brutale en fosse iliaque droite. Cette patiente était traitée par apixaban pour une phlébite étendue et récente (survenue en post-partum). À l’admission, elle présentait une pâleur cutanéo-muqueuse franche et une défense en fosse iliaque droite. Les paramètres vitaux retrouvaient une hypotension artérielle (100/50 mmHg) [...]

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endometrioma

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