PC-GG14 : A case report: The huge Endometrioma in a 28-Years-old woman

Endometriosis is defined as the presence of endometrial tissue(glands and stroma) outside the uterus, The most frequent sites of implatation are the pelvic viscera and the peritoneum. Endometriosis varies in appearance from a few minimal lesions on otherwise intact pelvic organs, to massive ovarian endometriotic cysts that distort tubo-ovarian anatomy and extensive adhesions involving bowel, bladder, and ureter. We will report the case about 28 years-old woman with huge endometrioma. A 28 years-old woman came to emergency room. Her chief complain was continous lower abd. pain since 3 weeks ago. She was single and didn’t have any experience of pregnancy. By sonographic imagination, We found the huge ovary cyst in her pelvic caivity. We did some examinations such as abdomen-pelvis CT and Blood sampling. CT scan showed huge, well defined, mildly lobulated, thick and weakly enhancing muliseptated mainly cystic mass involving abdominopelvic peritoneal cavity with intrinsic portion of fat component. The radiologist’s impression was Left ovarian dermoid cyst and cystadenoma. Her beta-hcg level was below 1.2. The AFP level was 1.86. The CEA level was 0.5. The CA19-9 level was below 2.00. The CA125 level was 197. We decided to do Left salpingo-oophorectomy with single port laparoscopy. Lt. ovary was divided into some pieces. The largest piece was 16*12*2cm in size. total weight of the cyst was 73g. The left tube was 7*0.5cm in size. The pathologist’s conclusion was Serous cystadenoma, endometriosis of the ovary, and paratubal cyst. Endometriosis can be associated with subfertility, pelvic pain, dysmenorrhea, dyspareunia, nonmenstrual pain, and reduced quality of life. Severe or deeply infiltrating endometriosis should be managed in a facility with the necessary experitise to provide treatment in a multidisciplinary context.