Juvenile pelvic extragenital endometrioma with acute abdomen in a 15 – year – old - girl

D Habek, Dubravko Habek, Zlatko Hrgović
In: Signa Vitae · 2017 · vol. 13(2) , pp. 118 · doi:10.22514/sv132.112017.19 · W2773198903
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A 15-year-old girl with chronic pelvic pain was diagnosed with an extragenital pelvic endometrioma after presenting with acute abdomen, requiring laparoscopy and subsequent total tumorectomy.

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Abstract

We describe a case of a 15-year-old girl with a several month history of chronic pelvic pain, due to a 5 cm pelvic tumour, presenting with acute abdomen. Urgent diagnostic laparoscopy revealed multiple pelvic adhesions and a focal extragenital pelvic tumour. Aft er laparoscopy, ultra-sound and magnetic resonance imaging and laboratory procedures (with normal value of oncomarkers) were performed, followed by explorative laparotomy and total tumorectomy. An extragenital pel-vic endometrioma was verifi ed on histo-pathological analysis.
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Title Author DOI Article Type Special Issue Volume Issue Search - Views 3595 - Dowloads 125 Juvenile pelvic extragenital endometrioma with acute abdomen in a 15 – year – old - girl 1Clinical Department of Obstetrics and Gynecology, Sveti Duh University Hospital, Croatian Catholic University Zagreb, Croatia 2 Clinical Department of Obstetrics and Gynecology, Johann Wolfgang Goethe University Hospital Off enbach, Germany *Corresponding Author(s): DUBRAVKO HABEK E-mail: [email protected] We describe a case of a 15-year-old girl with a several month history of chronic pelvic pain, due to a 5 cm pelvic tumour, presenting with acute abdomen. Urgent diagnostic laparoscopy revealed multiple pelvic adhesions and a focal extragenital pelvic tumour. Aft er laparoscopy, ultra-sound and magnetic resonance imaging and laboratory procedures (with normal value of oncomarkers) were performed, followed by explorative laparotomy and total tumorectomy. An extragenital pel-vic endometrioma was verifi ed on histo-pathological analysis. acute abdomen, pelvic pain, juvenile, endometriosis, extragenital, pu-berty DUBRAVKO HABEK, ZLATKO HRGOVIĆ. Juvenile pelvic extragenital endometrioma with acute abdomen in a 15 – year – old - girl. Signa Vitae. 2017; 13(2): 118-119. doi: 10.22514/SV132.112017.19 1. Laufer MR, Sanfilippo J, Rose G. Adolescent endometriosis: diagnosis and treatment approaches. J Pediatr Adolesc Gynecol 2003;16(3 Suppl):S3-11. 2. Habek D, Premužić M, Čerkez Habek J. Sindrom akutnoga abdomena u ginekologiji i opstetriciji. Acta Med Croat 2006;60:227-35. 3. Propst AM, Laufer MR. Endometriosis in adolescents. Incidence, diagnosis and treatment. J Reprod Med 1999;44:751-8. 4. Gotoh M, Yoshikawa Y, Tanaka K, Tsuji Y, Kondo A, Miyake K. A case of juvenile vesical endometriosis with unilateral renal agenesis and bicornate uterus. Hinyokika Kiyo 1991;37:915-8. 5. Bourdel N, Matsusakï S, Roman H. Endometriosis in teenagers. Gynecol Obstet Fertil 2006;34:727-34. 6. Veeraswamy A, Lewis M, Mann A, Kotikela S, Hajhosseini B, Nezhat C. Extragenital endometriosis. Clin Obstet Gynecol 2010;53:449-66. Top

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