Near Lethal Endometriosis and a Massive (64 kg) Endometrioma: Case Report and Review of the Literature.
Sanford School of Medicine Affiliation
Transplantation and Surgery
Medicine and Health Sciences | Surgery
Acute Kidney Injury, Ascitic Fluid, Endometriosis, Female, Humans, Middle Aged, Obesity, Morbid, Respiratory Insufficiency
A 51-year-old morbidly obese, hypertensive, anemic, and amenorrheic female presented with anuria and respiratory symptoms. The patient had a distinctly massive abdomen with necrotic anterior abdominal wall, and laboratory findings revealed a leukocytosis, profound anemia, coagulopathy and renal failure. An abdominal sonogram showed a large, complex intra-abdominopelvic mass and ascites. At surgery, a massive, cystic left ovarian mass, 37 1 of ascitic/cyst fluid, and several peritoneal nodules were removed--a total of 64 kg of tumorous tissue. Histopathological evaluation of the mass revealed an endometrioma. We present this rare case of severe endometriosis in a morbidly obese patient who presented with an exceptionally large endometrioma (64 kg), multifactorial respiratory and renal failure, coagulopathy, and profound anemia.
Clinical and Experimental Obstetrics & Gynecology
MeSH Headings (Medical Subject Headings)
Acute Kidney Injury; Ascitic Fluid; Endometriosis; Female; Humans; Middle Aged; Obesity, Morbid; Respiratory Insufficiency
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Sakpal, Sujit Vijay; Patel, Chittaranjan; and Chamberlain, Ronald Scott, "Near Lethal Endometriosis and a Massive (64 kg) Endometrioma: Case Report and Review of the Literature." (2009). Department of Surgery. 23.