| Author: Eva Račanská
Description:
29 year old II para I gravida referred by gynecologist for a persisiting cyst of the right ovary. Patient already underwent laparoscopic exstirpation of the endometrioma (4 and 3 years ago). She was scheduleld for the GnRH analogue therapy for endometriosis but it was cancelled due to her pregnancy. Menstrual cycle regular, 1 delivery via Caesarean section for cervikokorporal dystocia (2 years ago) and 1 missed abortion in the 16th week of pregnancy, last year. Bimanual pelvic examination: anteverted uterus of normal size, enlarged ovary on the right, left adnexal region with no palpable mass.Ultrasound examination: anteverted uterus, endometrium 7 mm, left ovary of normal size and echogenity, right ovary with a hypoechogenic cyst 50 mm in diameter. Diagnostic laparoscopy was performed with the following findings: boggy, mobile uterus of normal size, right ovary with endometrioma 40 by 50 mm in size in adhesions with the pelvic wall and colon. The chocolate content of the cyst was evacuated and the wall of the cyst exstirpated after releasing from the adhesions. They were some adhesions detached in the pouch of Douglas as well. Histology confirmed wall from the cubic epithelium and fibrous tissue.
Categorization:
Endometrioma - Sampson cyst, Endometriosis
Attachments:
Description: Uterus, left ovary and enlarge right ovary.
Description: Uterus and the left ovary and uterine tube.
Description: Uterus and the right ovary with the uterine tube, visible ampullar part with fimbriae. Ledt ovary is enlarged with a cyst.
Description: The pouch of Douglas with fluid, both ovaries and left uterine tube.
Description: Uterus and the right ovary after cyst exstirpation and peritoneal lavage.