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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This case report describes a 15-year-old girl presenting with acute abdomen and a history of chronic pelvic pain caused by a five-centimeter pelvic tumor. Diagnostic procedures including laparoscopy, imaging, and laboratory tests revealed multiple adhesions and an extragenital mass, leading to explorative laparotomy and total tumorectomy. Histopathological analysis confirmed the diagnosis of an extragenital pelvic endometrioma, highlighting a rare presentation of juvenile endometriosis outside the genital tract. This paper is centrally about endometriosis — specifically, it documents a rare case of extragenital endometrioma causing acute abdominal symptoms in an adolescent patient.

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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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