Absceso tubo-ovárico espontáneo como complicación de un endometrioma: reporte de caso

In: Metro Ciencia · 2023 · vol. 30(2) , pp. 73–80 · doi:10.47464/metrociencia/vol31/2/2023/73-80 · W4383371647
article OA: hybrid CC0 ⤵ 1 in-corpus citation
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-08-02 ⓘ

This case report describes a spontaneous tubo-ovarian abscess in a 33-year-old patient with an infected endometrioma, highlighting the rare occurrence and need for timely surgical intervention.

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, 2026-08-16 · read from full text ⓘ

This case report describes a 33-year-old woman with no risk factors who developed a spontaneous tubo-ovarian abscess secondary to an infected endometrioma. The authors highlight that while this complication is rare, particularly in patients without typical predisposing factors, it can progress to life-threatening peritonitis if the cyst ruptures. The paper emphasizes the importance of recognizing clinical and ultrasound findings for timely surgical intervention to prevent severe morbidity. This paper is centrally about endometriosis — specifically detailing a rare infectious complication where an endometrioma becomes superinfected and forms a tubo-ovarian abscess.

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

Abstract

Presentamos el caso de una paciente de 33 años, sin factores de riesgo que se presenta con absceso tubo-ovárico espontáneo en relación con un endometrioma sobreinfectado. Un absceso tubo-ovárico en un endometrioma es una complicación muy rara, y que este se produzca en pacientes sin factores de riesgo es aún más infrecuente. El caso busca aportar con mayor evidencia, respecto a los hallazgos clínicos, ecográficos y tratamiento, frente a esta complicación. Este caso connota que un endometrioma puede progresar a una complicación infecciosa, que requiere un tratamiento quirúrgico oportuno ya que podría comprometer la vida, si este se rompe.
Full text 5,995 characters · extracted from oa-doi-fallback · click to expand
Absceso tubo-ovárico espontáneo como complicación de un endometrioma: reporte de caso DOI: https://doi.org/10.47464/MetroCiencia/vol31/2/2023/73-80Palabras clave: Absceso tubo-ovárico, endometrioma infectado, endometriosis complicada, endometriomaResumen Presentamos el caso de una paciente de 33 años, sin factores de riesgo que se presenta con absceso tubo-ovárico espontáneo en relación con un endometrioma sobreinfectado. Un absceso tubo-ovárico en un endometrioma es una complicación muy rara, y que este se produzca en pacientes sin factores de riesgo es aún más infrecuente. El caso busca aportar con mayor evidencia, respecto a los hallazgos clínicos, ecográficos y tratamiento, frente a esta complicación. Este caso connota que un endometrioma puede progresar a una complicación infecciosa, que requiere un tratamiento quirúrgico oportuno ya que podría comprometer la vida, si este se rompe. Descargas Citas Hugh S, Lubna P, Emre S. Endometriosis. In: Endocrinología Ginecológica Clinica y Esterilidad. 9th ed. Philadelphia: Wolters Kluwer; 2020. p. 1223–49. Gałczyński K, Jóźwik M, Lewkowicz D, Semczuk-Sikora A, Semczuk A. Ovarian endometrioma – a possible finding in adolescent girls and young women: a mini-review. Journal of Ovarian Research. 2019. p. 104. Yılmaz Hanege B, Güler Çekıç S, Ata B. Endometrioma and ovarian reserve: effects of endometriomata per se and its surgical treatment on the ovarian reserve. Facts, views & vision in ObGyn. 2019. p. 151–7. Wright KN, Laufer MR. Endometriomas in adolescents. Fertil Steril. 2010 Sep;94(4):1529.e7-1529.e9. Mateo-Sánez HA, Olea-Cavarrubias E, Mateo-Madrigal M, Mateo-Madrigal V, Mateo-Madrigal D. Endometrioma complicado por absceso ovárico espontáneo. 2017 [cited 2022 Jul 22]; Available from: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0300-90412017000400008 Grammatikakis I, Evangelinakis N, Salamalekis G, Tziortzioti V, Samaras C, Chrelias C, et al. Prevalence of severe pelvic inflammatory disease and endometriotic ovarian cysts: a 7-year retrospective study. Clin Exp Obstet Gynecol [Internet]. 2009 [cited 2022 Jul 22];36(4):235–6. Available from: https://pubmed.ncbi.nlm.nih.gov/20101855/ Petruškevičiūtė E, Bužinskienė D. Acute Diffuse Peritonitis Due to Spontaneous Rupture of an Infected Endometrioma: A Case Report. Acta Med Litu. 2021 Dec 22;28(2):20. Shah R, Shah J, Mehta M. Laparoscopic management of an endometrioma complicated by an ovarian abscess. Int J Reprod Contracept Obstet Gynecol. 2013;473–4. Li H, Zhao Y, Chang X hong, Wang Y, Zhu H lan. Clinical characteristics, treatment status and complications in women with tube ovarian abscess and endometriosis: a retrospective study. BMC Womens Health. 2021 Dec 18;21(1):109. Villette C, Bourret A, Santulli P, Gayet V, Chapron C, de Ziegler D. Risks of tubo-ovarian abscess in cases of endometrioma and assisted reproductive technologies are both under- and overreported. Fertil Steril. 2016 Aug;106(2):410–5. Padilla SL. Case Report: Ovarian abscess following puncture of an endometrioma during ultrasound-guided oocyte retrieval. Human Reproduction. 1993 Aug;8(8):1282–3. Kubota T, Ishi K, Takeuchi H. A Study of Tubo-Ovarian and Ovarian Abscesses, with a Focus on Cases with Endometrioma. Journal of Obstetrics and Gynaecology Research. 1997 Oct;23(5):421–6. Gupta A, Gupta MM, Manaktala U. Primary Ovarian Abscess Arising Spontaneously within an Endometrioma: A Rare Case. J Endometr Pelvic Pain Disord. 2015 Jan 16;7(1):46–8. Chen MJ, Yang JH, Yang YS, Ho HN. Increased occurrence of tubo-ovarian abscesses in women with stage III and IV endometriosis. Fertil Steril. 2004 Aug;82(2):498–9. Edelstein S, Ben Shachar I, Ben-Amram H, Biswas S, Marcus N. Assisted Reproductive Technology as a Transcutaneous Route for Bacterial Contamination of Ovarian Endometrioma with Coagulase-Negative Staphylococcus: Case Report and Review of the Literature. Infect Dis Obstet Gynecol. 2019 Nov 29;2019:1–5. Taylor BD, Ness RB, Darville T, Haggerty CL. Microbial Correlates of Delayed Care for Pelvic Inflammatory Disease. Sex Transm Dis. 2011 May;38(5):434–8. Velcani A, Conklin P, Specht N. Sonographic features of tubo-ovarian abscess mimicking an endometrioma and review of cystic adnexal masses. J Radiol Case Rep. 2010 Feb 6;4(2). Siegelman ES, Oliver ER. MR Imaging of Endometriosis: Ten Imaging Pearls. RadioGraphics. 2012 Oct;32(6):1675–91. Bottomley C, Bourne T. Diagnosis and management of ovarian cyst accidents. Best Pract Res Clin Obstet Gynaecol. 2009 Oct;23(5):711–24. Kurata H, Sasaki M, Kase H, Yamamoto Y, Aoki Y, Tanaka K. Elevated serum CA125 and CA19-9 due to the spontaneous rupture of ovarian endometrioma. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2002 Oct;105(1):75–6. Lareau SM, Beigi RH. Pelvic Inflammatory Disease and Tubo-ovarian Abscess. Infect Dis Clin North Am. 2008 Dec;22(4):693–708. Landers D V., Sweet RL. Tubo-ovarian Abscess: Contemporary Approach to Management. Clinical Infectious Diseases. 1983 Sep 1;5(5):876–84. Beigi R. Management and complications of tubo-ovarian abscess - UpToDate [Internet]. UptoDate. 2022 [cited 2023 Apr 5]. Available from: https://www.uptodate.com/contents/management-and-complications-of-tubo-ovarian-abscess?search=absceso%20ovarico&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1#H26297661 Calle-Gómez GA, Arango-Martínez AM, Castañeda-Roldán JD, De los Ríos-Posada JF, Serna E, Vásquez R, et al. Manejo laparoscópico de la enfermedad pélvica inflamatoria severa: reporte de tres casos y revisión de la literatura. Rev Colomb Obstet Ginecol [Internet]. 2011 Jun 30 [cited 2023 Apr 5];62(2):201–7. Available from: https://revista.fecolsog.org/index.php/rcog/article/view/246 Publicado Cómo citar Número Sección Licencia Derechos de autor 2023 Alexis Javier Haro Perdomo, Darwin Homero Loza Peñafiel, Luis Fernando Suárez López, Felipe Loza Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.

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

Condition tags

endometrioma

Citation neighborhood (sparse)

Too few in-corpus citations on either side for a chart; here are the lists.

Cites (3)

Cited by (1)

References (10)

Cited by (1)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0 · commercial use OK