2017, Number 04
Ginecol Obstet Mex 2017; 85 (04)
Endometrioma complicated by spontaneous ovarian abscess
Mateo-Sánez HA, Olea-Covarrubias E, Hernández-Escobar L, Mateo-Madrigal M, Mateo-Madrigal V, Mateo-Madrigal D
Language: Spanish
References: 0
Page: 267-271
PDF size: 211.09 Kb.
ABSTRACT
Objetive: To report a case of Endometrioma complicated with ovarian abscess, expose and discuss the factors of risk associated with the purpose of disseminating this rare alteration and establishing the appropriate diagnosis.Case Report: A 34 year old, seen at the Santa Rosa de Lima Hospital in Ensenada, Baja California, for a history of 5 months long chronic pelvic pain with intermittent fever, under treatment with broad spectrum antibiotic with no improvement. Transvaginal ultrasound revealed a compatible image with an endometrioma on the right ovary, followed by a laparotomy, capsule dissection and release of multiple tube-ovarian adhesions. The histo-pathological report confirmed that it was an ovarian endometrioma complicated by abscess.
Conclusion: We emphasized in the study the risk factors and define a cause of an endometrioma and the clinical history details. Prevention and a good diagnoses as a priority to reduce morbi-mortality. It is very important to know that any woman with advanced stage history of endometriosis is susceptible to complications.