Ruptura de endometrioma ovárico durante el tercer trimestre del embarazo
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A ruptured ovarian endometrioma in a 34-week pregnant patient caused abdominal pain and volume increase, necessitating laparotomy and leading to a subsequent cesarean section without complications.
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Abstract
SUMMARY A 35 years-old patient with an active pregnancy of 34 weeks assisted for presenting abdominal pain and sudden increased of abdominal volume. Ultrasonography showed presence of intrauterine pregnancy, great amount of free fluid in abdominal cavity and in left side of uterus a tumor compatible with endometrioma. During laparotomy, left ovary was adhere to posterior wall of broad ligament and omentum with a ruptured endometrioma. Three days after surgery, labor began spontaneously so a cesarean section was done. Patients had a postoperative course without complications.
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