Infected endometriotic cyst due to blunt trauma: a case report

Akmal Sujudi, Rajuddin
In: Journal of International Surgery and Clinical Medicine · 2025 · vol. 5(1) , pp. 24–26 · doi:10.51559/jiscm.v5i1.73 · W7161682588
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A 36-year-old woman with prior endometriosis surgery developed an infected endometriotic cyst following abdominal massage, highlighting the risk of trauma-induced rupture and infection in this condition.

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This case report describes a 36-year-old multiparous woman who developed an infected endometriotic cyst following abdominal massage for chronic pelvic discomfort. Diagnostic imaging revealed a large cystic mass, and laboratory results indicated significant inflammation with elevated leukocyte counts and CA125 levels. The patient was treated with antibiotics followed by unilateral salpingo-oophorectomy, which confirmed the presence of purulent material within the endometriotic lesion. This paper is centrally about endometriosis — specifically the rare complication of secondary infection in an endometriotic cyst triggered by blunt trauma from abdominal massage.

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Abstract

Background: Endometriosis is a common gynecological condition with a prevalence of 2–10% among women of reproductive age. Secondary infection of endometriotic cysts constitutes an uncommon yet potentially severe complication that may arise through multiple mechanisms, including trauma-mediated cyst rupture. Case Presentation: The present case describes a-36-year_old multiparous woman with fever after abdominal massage for chronic pelvic discomfort.. The patient had previously undergone surgery for endometriosis. in 2021 and chronic dysmenorrhea. Physical examination revealed a fixed abdominal mass, and ultrasonography showed an 11.5×9.5×7.9 cm cystic mass with ground glass appearance. Laboratory findings showed elevated leukocytes (29,500 cells/mm³) and CA125 (261 μg/dL). After antibiotic treatment, unilateral salpingo-oophorectomy was performed. Intraoperatively, infected endometriotic cyst with purulent material was found. Conclusion: This case highlights the risk of endometriotic cyst rupture and subsequent infection following abdominal trauma, even from traditional massage therapy. Early detection and appropriate surgical care are critical for good results.
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Keywords

endometriosis, infected cyst, blunt trauma, abdominal massage

Abstract

Background: Endometriosis is a common gynecological condition with a prevalence of 2–10% among women of reproductive age. Secondary infection of endometriotic cysts constitutes an uncommon yet potentially severe complication that may arise through multiple mechanisms, including trauma-mediated cyst rupture. Case Presentation: The present case describes a-36-year_old multiparous woman with fever after abdominal massage for chronic pelvic discomfort.. The patient had previously undergone surgery for endometriosis. in 2021 and chronic dysmenorrhea. Physical examination revealed a fixed abdominal mass, and ultrasonography showed an 11.5×9.5×7.9 cm cystic mass with ground glass appearance. Laboratory findings showed elevated leukocytes (29,500 cells/mm³) and CA125 (261 μg/dL). After antibiotic treatment, unilateral salpingo-oophorectomy was performed. Intraoperatively, infected endometriotic cyst with purulent material was found.

Conclusion

This case highlights the risk of endometriotic cyst rupture and subsequent infection following abdominal trauma, even from traditional massage therapy. Early detection and appropriate surgical care are critical for good results.

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endometriosisdysmenorrhea

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