Publication: Ruptured Endometrioma with Hemoperitoneum Requiring Emergency Laparotomy: A Case Report
Date
2023
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Health Research Council
Abstract
Abstract
Endometrioma is the localization of endometriosis in ovary which often develops as cyst. The condition can be complicated with infection, torsion and rupture leading to significant hemoperitoneum and ascites.
We present here a 28-year female P2 L1 presented with the features of acute abdomen and severe anemia referred from other hospital where pain management was done. She had raised Ca-125 level, negative Urine Beta HCG and USG findings of left endometrioma with degenerating subserosal fibroid. The improvement of her general condition with analgesics was misleading however a static hematocrit level despite blood transfusion raised suspicion of ongoing pathology leading to blood loss and diagnostic paracentesis confirmed the hemoperitoneum while awaiting of CT report. She underwent Emergency Laparotomy which revealed hemoperitoneum of 2000ml and right ruptured ovarian endometrioma measuring and left ovarian cyst measuring 6x6 cm was noted. The postoperative period was uneventful.
Keywords: Acute abdomen; case report; endometriosis; hemoperitoneum; ruptured endometrioma.
Description
Sangam Rai
Department of Obstetrics and Gynaecology, Kathmandu Model Hospital
Ganesh Dangal
Department of Obstetrics and Gynaecology, Kathmandu Model Hospital
Aruna Karki
Department of Obstetrics and Gynaecology, Kathmandu Model Hospital
Peru Pradhan
Department of Obstetrics and Gynaecology, Kathmandu Model Hospital
Ranjana Shrestha
Department of Obstetrics and Gynaecology, Kathmandu Model Hospital
Kabin Bhattachan
Department of Obstetrics and Gynaecology, Kathmandu Model Hospital
Sunita Maharajan
Department of Obstetrics and Gynaecology, Kathmandu Model Hospital
Srijana Bhandari
Department of Obstetrics and Gynaecology, Kathmandu Model Hospital
Amog Basnyat
Department of Obstetrics and Gynaecology, Kathmandu Model Hospital