Severe pelvic adhesions following attempted ultrasound-guided drainage of bilateral ovarian endometriomas: Case report
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Abstract
A 38 year old woman was thought to have bilateral polycystic ovaries and an absence of pelvic or abdominal adhesions at diagnostic laparoscopy. Post-operative transvaginal ultrasound noted bilateral homogeneous hypo-echoic masses with low-level echoes consistent with endometriomas. Transvaginal aspiration was unsuccessful due to the viscosity of the cyst contents. At second laparoscopy severe adhesions with complete cul-de-sac obliteration were noted. This case raises concern about pelvic adhesions following transvaginal drainage of ovarian endometriomas.
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Cited by (15)
- Ovarian endometrioma: guidelines for selection of cases for surgical treatment or expectant management 2012
- In situ methotrexate injection after transvaginal ultrasound-guided aspiration of ovarian endometriomas: A randomized controlled trial 2011
- Evidence-based management of endometrioma 2010
- Surgery for endometriosis-associated infertility: a pragmatic approach 2008
- Zur Bedeutung der Endometriose in der Reproduktionsmedizin 2007
- Imaging in endometriosis 2007
- Management of Ovarian 2006
- Management of Ovarian Endometrioma 2006
- Conservative surgical management of endometriosis in women with pelvic pain 2006
- Treatment of Endometriosis with Transvaginal Ultrasound-Guided Drainage under GnRH Analogues and Recombinant Interleukin-2 Left in the Cysts 2005
- Endométriome ovarien associé à une infertilité : quelle est la place de l'abstention thérapeutique? 2005
- Treatment of Ovarian Endometrioma 2003
- GnRH Analogues, Transvaginal Ultrasound-Guided Drainage and Intracystic Injection of Recombinant Interleukin-2 in the Treatment of Endometriosis 2003
- Imaging in endometriosis 2003
- Management of ovarian endometriomas 2002
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- europepmc
- last seen: 2026-06-04T01:30:01.192114+00:00
- openalex
- last seen: 2026-05-11T06:21:44.532445+00:00
- pubmed
- last seen: 2026-05-13T22:10:24.024533+00:00
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