Acute Abdominal Case Report: Ruptured Ovarian Endometriotic Cyst Concurrent with Acute Appendicitis

Gupita Nareswari
In: Sanus Medical Journal · 2022 · vol. 4(2) , pp. 9–12 · doi:10.22236/sanus.v4i2.9939 · W4323789109
article OA: diamond CC0
🔓 Open OA copy Full text JSON View on OpenAlex View at publisher
⚙ AI-generated deep summary by qwen3.7-flash, 2026-09-07 · read from full text ⓘ

This case report describes a young woman presenting with acute pelvic pain who was surgically treated for concurrent acute appendicitis and a ruptured ovarian endometriotic cyst. Laparoscopic intervention confirmed the simultaneous presence of both conditions, which were subsequently verified through histopathological analysis. The authors highlight that while rare, distinct gynecologic emergencies can coexist with gastrointestinal issues, complicating the differential diagnosis for acute abdominal pain in premenopausal women. This paper is centrally about endometriosis — specifically involving a ruptured endometrioma occurring alongside acute appendicitis.

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

Abstract

Acute pain of pelvic origin is a common symptom necessitating emergent medical evaluation. Acute pelvic pain in young women can present as a unique diagnostic dilemma. Differential diagnosis in acute pelvis pain can vary according to risk. Possible causes span a gamut from functional ovarian cysts that require routine follow-up to adnexal torsion and ectopic pregnancy requiring urgent surgical management. This case report illustrates how concomitant gynecologic disorders can occur in patients with acute appendicitis. The laparoscopic operation revealed a ruptured ovarian endometriotic cyst concurrent with acute appendicitis and was proven by histopathology. This serves as a reminder that even though a rare case is contemporary, two different entities can occur.
Full text 2,584 characters · extracted from oa-doi-fallback · 4 sections · click to expand

Abstract

Acute pain of pelvic origin is a common symptom necessitating emergent medical evaluation. Acute pelvic pain in young women can present as a unique diagnostic dilemma. Differential diagnosis in acute pelvis pain can vary according to risk. Possible causes span a gamut from functional ovarian cysts that require routine follow-up to adnexal torsion and ectopic pregnancy requiring urgent surgical management. This case report illustrates how concomitant gynecologic disorders can occur in patients with acute appendicitis. The laparoscopic operation revealed a ruptured ovarian endometriotic cyst concurrent with acute appendicitis and was proven by histopathology. This serves as a reminder that even though a rare case is contemporary, two different entities can occur.

Keywords

Article Details This work is licensed under a Creative Commons Attribution 4.0 International License.

References

- Louis MA, Doubleday AR, Lin E, Baek JY, Andoni A, Wang XH. Case report abdominal pain in the female patient : A case of concurrent acute appendicitis and ruptured endometrioma. Hindawi publishing corporation 2016:1-4. - Potter AW, Chandrasekhar CA. US and CT evaluation of acute pelvic pain of gynecologic origin ini nonpregnant premenopausal patiens. Radiographics 2008;28:1645-59. - Dias EL, Filho LG, Ferreira AD. Ruptured endometrioma main imaging findings. Radiol Bras 2018;51(6):407-14. - Lee YR. CT Imaging findings of ruptured ovarian endometriotic cysts : emphasis on the differenrial diagnosis with ruptured ovarian functional cysts. Korean J Radiol 2011;12(1):59-65. - Iraha Y, Okada M, Iraha R, Azama K, Yamashiro T, Tsubakimoto M et al. CT and MRI imaging of gynecologic emergencies. Radiographics 2017;37:1569-86.

References

Louis MA, Doubleday AR, Lin E, Baek JY, Andoni A, Wang XH. Case report abdominal pain in the female patient : A case of concurrent acute appendicitis and ruptured endometrioma. Hindawi publishing corporation 2016:1-4. Potter AW, Chandrasekhar CA. US and CT evaluation of acute pelvic pain of gynecologic origin ini nonpregnant premenopausal patiens. Radiographics 2008;28:1645-59. Dias EL, Filho LG, Ferreira AD. Ruptured endometrioma main imaging findings. Radiol Bras 2018;51(6):407-14. Lee YR. CT Imaging findings of ruptured ovarian endometriotic cysts : emphasis on the differenrial diagnosis with ruptured ovarian functional cysts. Korean J Radiol 2011;12(1):59-65. Iraha Y, Okada M, Iraha R, Azama K, Yamashiro T, Tsubakimoto M et al. CT and MRI imaging of gynecologic emergencies. Radiographics 2017;37:1569-86.

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-doi-fallback ⓘ

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 (no data yet)

We don't have any in-corpus citations linked to this paper yet. The paper's references may be in our DB but unresolved to ``paper_id`` (resolution happens at ingest when the cited DOI matches a row we already have). Run the cross-source citation reconcile pass to retry.

Source provenance

openalex
last seen: 2026-06-04T00:00:01.174412+00:00
License: CC0 · commercial use OK