A Massive Primary Ovarian Abscess within an Endometrioma in a Young Nullipara – An Unusual Case and Review of Literature
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This case report details a massive primary ovarian abscess within an endometrioma in a young nullipara, reviewing literature on this rare occurrence and its potential etiopathogenesis.
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Abstract
Primary ovarian abscess without the involvement of the fallopian tube is a rare complication of an underlying endometrioma. Surgical interventions like ultrasound guided oocyte retrieval in in vitro fertilization and endometrioma aspiration may be a possible source of infection. De novo primary ovarian abscess within an endometrioma in the absence of a risk factor is even rarer. Decreased natural killer cell activity leads to a failure to clear out the ectopic endometrial tissue and the collected blood acts as a potential culture medium for the growth of pathogenic microorganisms. Infected ovarian endometrioma is a surgical emergency and preserving the fertility in a nullipara is a challenge. We report an unusual case of a massive de novo ovarian abscess masking an endometrioma in a young nulliparous woman with no risk factors. We have summarized current literature and evaluated the etiopathogenesis and the risk factors leading to abscess formation within an endometrioma.
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References (15)
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Cited by (5)
- Infected ovarian endometrioma: Case series and management outcomes 2025
- Ovarian Abscess within an Endometrioma: Risk Factors and Management 2024
- Is the Paradigm Shift in Treating Endometriosis and Endometriomas Evidence-Based? 2024
- Multimodality imaging findings of infected endometriomas: “T1 signal reversal” as a potential diagnostic sign? 2023
- Tubo-ovarain abscess in patient with ovarian endometriosis 2023
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- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
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