Endometriosis Unveiled: A Tale of Two Extremes, From Acute Sepsis to Silent Suspicion

Amena Fardous, Fardous A, Anusha Sivasuriam, Sivasuriam A, Khalifa M, Mohamed Khalifa
Cureus · 2026 · vol. 18(7) , pp. e112908 · doi:10.7759/cureus.112908 · PMID:42609785 · PMC13480026 · W7169672026
case-report OA: gold CC0
📄 Open PDF Full text JSON View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-07-20 ⓘ

This paper describes two endometriosis cases mimicking sepsis and malignancy, highlighting diagnostic challenges and the diverse clinical spectrum of the disease.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by qwen3.7-flash, 2026-08-17 · read from full text ⓘ

The provided text consists entirely of promotional material and administrative disclaimers for the Cureus Journal of Medical Science, including details on advertising options, peer review processes, and sponsorship information for medical technologies. It contains no original research data, clinical findings, or scientific analysis related to any medical condition. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

Endometriosis may rarely present with atypical manifestations that closely mimic intra-abdominal malignancy or severe pelvic sepsis, resulting in significant diagnostic uncertainty. We present two contrasting cases of presumed severe endometriosis with uncommon clinical and radiological presentations. In the first case, a woman in her 30s presented with acute abdominal pain, progressive abdominal distension, and respiratory compromise associated with massive haemorrhagic ascites and markedly elevated cancer antigen 125 levels. Cross-sectional imaging demonstrated extensive deep infiltrative endometriosis with haemoperitoneum and multiple extra-pelvic endometriotic deposits. In the second case, a woman in her 30s presented with a complex adnexal mass, para-aortic lymphadenopathy and inflammatory features initially concerning for tubo-ovarian abscess or underlying malignancy. Following prolonged antibiotic therapy, complete radiological resolution of the adnexal lesion was observed, with subsequent imaging findings considered highly suggestive of an infected endometrioma. These cases emphasise the diverse spectrum of endometriosis presentations, the limitations of non-histological diagnosis and the importance of multidisciplinary assessment, radiological expertise and longitudinal follow-up in complex presentations.
Full text 793 characters · extracted from oa-html · click to expand
Offering a variety of advertising and sponsorship options for reaching influential specialists from targeted demographic splits. Cureus provides an equitable, efficient publishing and peer reviewing experience without sacrificing publication times. Generate broad awareness and deliver relevant, peer-reviewed clinical experiences directly to potential customers. Dedicated Cranial Radiosurgery: Clinical Experience with New & Innovative SRS Technologies Sponsored by Zap Surgical Systems Real-Time Adaptive Motion Management on Helical and Robotic RT Platforms Sponsored by Accuray, Inc. Cureus Journal of Medical Science Please note that by doing so you agree to be added to our monthly email newsletter distribution list. By joining Cureus, you agree to our Privacy Policy and Terms of Use.

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-html ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (10)

Source provenance

europepmc
last seen: 2026-09-16T06:11:32.772430+00:00
openalex
last seen: 2026-09-16T06:02:51.922090+00:00
pubmed
last seen: 2026-09-16T06:04:37.887741+00:00
License: CC0 · commercial use OK