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

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.