Near lethal endometriosis and a massive (64 kg) endometrioma: case report and review of the literature.
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This report details a 64 kg endometrioma in a morbidly obese patient with anuria, respiratory failure, coagulopathy, and profound anemia, followed by surgical removal and histopathological confirmation.
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Abstract
A 51-year-old morbidly obese, hypertensive, anemic, and amenorrheic female presented with anuria and respiratory symptoms. The patient had a distinctly massive abdomen with necrotic anterior abdominal wall, and laboratory findings revealed a leukocytosis, profound anemia, coagulopathy and renal failure. An abdominal sonogram showed a large, complex intra-abdominopelvic mass and ascites. At surgery, a massive, cystic left ovarian mass, 37 1 of ascitic/cyst fluid, and several peritoneal nodules were removed--a total of 64 kg of tumorous tissue. Histopathological evaluation of the mass revealed an endometrioma. We present this rare case of severe endometriosis in a morbidly obese patient who presented with an exceptionally large endometrioma (64 kg), multifactorial respiratory and renal failure, coagulopathy, and profound anemia.
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- europepmc
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- openalex
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- pubmed
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