Giant endometrioma in an asymptomatic patient

Júlia Azevedo Miranda, Eduarda Fabrini, Fernando Morbeck Almeida Coelho, Publio Cesar Cavalcante Viana, Públio César Cavalcante Viana
Radiology case reports · 2024 · vol. 19(5) , pp. 1945–1948 · doi:10.1016/j.radcr.2024.01.064 · PMID:38434786 · W4392214435
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case report describes a giant endometrioma in an asymptomatic patient, highlighting that large ovarian cysts should be considered endometriomas even when the patient is asymptomatic.

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Abstract

Endometriosis is a chronic inflammatory gynecologic disorder characterized by the presence of endometrial-like tissue, including endometrial glands and stroma, outside of the uterine cavity. It is a prevalent condition worldwide, affecting approximately 10% of reproductive-age women and up to 50% of infertile women. Endometriosis manifests in three ways: superficial peritoneal endometriosis, deep infiltrative endometriosis, and ovarian endometriomas, with the possibility of coexistence among them. The disease presents with a range of symptoms, including chronic pelvic pain, dysmenorrhea, dyspareunia, and infertility. Additionally, patients may experience nongynecological symptoms such as dyschezia, dysuria, hematuria, flank pain, and fatigue, among others. The ovaries are the most affected site in endometriosis, typically with cysts measuring less than 6 cm in diameter. Therefore, even in the presence of a large ovarian cyst or in asymptomatic patients, the consideration of an endometrial cyst should not be overlooked.

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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.

References (17)

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