Large endometriosis – case report

This case report describes endometriosis in a 46-year-old nulliparous patient with a large abdominal mass palpable several fingerbreadths below the navel, and a slightly enlarged uterus with a left ovarian cyst measuring about 15 cm whose upper border was not clearly visualized on per rectum ultrasound. Serum CA-125 was reported as 40.4 U/mL, and despite the large lesion, the patient did not have typical endometriosis symptoms such as chronic pelvic pain, dysmenorrhea, dyspareunia, urinary incontinence, or other described gastrointestinal symptoms. The authors performed surgery and evacuated 1000 mL of fluid from the endometrial cyst. This paper is centrally about endometriosis — a case report of a large endometriotic cyst presenting atypically with minimal symptoms.

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