Silent Threat: Bilateral Giant Asymptomatic Endometriotic Cysts With Unilateral Sudden Rupture-A Case Report.

IF 0.6 Q4 OBSTETRICS & GYNECOLOGY
Case Reports in Obstetrics and Gynecology Pub Date : 2025-06-25 eCollection Date: 2025-01-01 DOI:10.1155/crog/1739044
Muhammad Dwi Priangga, Adhitya Yudha Maulana, Yasmine Syifa Nabila Budi, Syauqi Maulana Idhar, Herbert Situmorang
{"title":"Silent Threat: Bilateral Giant Asymptomatic Endometriotic Cysts With Unilateral Sudden Rupture-A Case Report.","authors":"Muhammad Dwi Priangga, Adhitya Yudha Maulana, Yasmine Syifa Nabila Budi, Syauqi Maulana Idhar, Herbert Situmorang","doi":"10.1155/crog/1739044","DOIUrl":null,"url":null,"abstract":"<p><p>Endometriotic cysts are common, but bilateral giant endometriosis cyst with asymptomatic cases are extremely rare. Rupture is also uncommon, yet when it occurs, it can mimic appendicitis or ectopic pregnancy due to peritoneal irritation, often requiring emergency intervention. A 25-year-old woman presented with nausea, vomiting, and an enlarging abdominal lump. Ultrasonography revealed bilateral ovarian cystic masses with ground glass appearances and free subhepatic fluid. Due to worsening symptoms despite initial resuscitation, emergency exploratory laparotomy was performed. Intraoperatively, a ruptured right ovarian cyst (20 × 15 × 15 cm) with extensive adhesions to the posterior uterus, rectum, and right ovarian fossa was identified, along with a left ovarian endometriotic cyst (12 × 10 × 10 cm). The patient underwent right salpingo-oophorectomy, left cystectomy, and ureterolysis. Histopathology confirmed endometriotic cysts. Rapid surgical intervention is crucial in ruptured cysts to minimize adhesion formation and preserve fertility. Postoperatively, continuous hormonal therapy, such as oral progesterone or an intrauterine device, is recommended to decrease recurrence.</p>","PeriodicalId":9610,"journal":{"name":"Case Reports in Obstetrics and Gynecology","volume":"2025 ","pages":"1739044"},"PeriodicalIF":0.6000,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12221541/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Case Reports in Obstetrics and Gynecology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1155/crog/1739044","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Endometriotic cysts are common, but bilateral giant endometriosis cyst with asymptomatic cases are extremely rare. Rupture is also uncommon, yet when it occurs, it can mimic appendicitis or ectopic pregnancy due to peritoneal irritation, often requiring emergency intervention. A 25-year-old woman presented with nausea, vomiting, and an enlarging abdominal lump. Ultrasonography revealed bilateral ovarian cystic masses with ground glass appearances and free subhepatic fluid. Due to worsening symptoms despite initial resuscitation, emergency exploratory laparotomy was performed. Intraoperatively, a ruptured right ovarian cyst (20 × 15 × 15 cm) with extensive adhesions to the posterior uterus, rectum, and right ovarian fossa was identified, along with a left ovarian endometriotic cyst (12 × 10 × 10 cm). The patient underwent right salpingo-oophorectomy, left cystectomy, and ureterolysis. Histopathology confirmed endometriotic cysts. Rapid surgical intervention is crucial in ruptured cysts to minimize adhesion formation and preserve fertility. Postoperatively, continuous hormonal therapy, such as oral progesterone or an intrauterine device, is recommended to decrease recurrence.

无声的威胁:双侧巨大无症状子宫内膜异位囊肿伴单侧突然破裂1例。
子宫内膜异位囊肿是常见的,但双侧巨大子宫内膜异位囊肿无症状的病例极为罕见。破裂也不常见,但当它发生时,它可以模仿阑尾炎或异位妊娠,由于腹膜刺激,往往需要紧急干预。一位25岁的女性表现为恶心,呕吐,腹部肿块增大。超声示双侧卵巢囊性肿块,有磨砂玻璃样及游离肝下液。尽管初步复苏,但由于症状恶化,进行了紧急剖腹探查术。术中发现右侧卵巢囊肿(20 × 15 × 15 cm)破裂,伴子宫后缘、直肠及右侧卵巢窝广泛粘连,同时左侧卵巢子宫内膜异位囊肿(12 × 10 × 10 cm)。患者行右侧输卵管卵巢切除术、左侧膀胱切除术及输尿管溶解术。组织病理学证实子宫内膜异位囊肿。快速手术干预是至关重要的破裂囊肿,以减少粘连的形成和保持生育能力。术后,持续的激素治疗,如口服黄体酮或宫内节育器,建议减少复发。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Case Reports in Obstetrics and Gynecology
Case Reports in Obstetrics and Gynecology Medicine-Obstetrics and Gynecology
CiteScore
1.30
自引率
0.00%
发文量
64
审稿时长
12 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信