Donald School Journal of Ultrasound in Obstetrics and Gynecology

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VOLUME 18 , ISSUE 3 ( July-September, 2024 ) > List of Articles

REVIEW ARTICLE

Abscesses Arising from Endometrioma

Zorancho Petanovski, Emilija Petanovska Kostova

Keywords : Abscess, Endometrioma, Endometriosis, Ovary

Citation Information : Petanovski Z, Kostova EP. Abscesses Arising from Endometrioma. Donald School J Ultrasound Obstet Gynecol 2024; 18 (3):219-223.

DOI: 10.5005/jp-journals-10009-2038

License: CC BY-NC 4.0

Published Online: 30-09-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Endometriosis is a chronic disease affecting 10–15% of women in their reproductive years. It is characterized by the presence of functional glands and stroma in sites outside the endometrial cavity. Lesions can be found on ovaries, fallopian tubes, peritoneum, intestines, bladder, diaphragm, and may also occur in other parts of the body. Two-dimensional (2D) and three-dimensional (3D) ultrasonography and color Doppler are essential techniques in detecting endometrioma. Ovarian abscess is a rare gynecologic entity in contrast to the more commonly encountered tubo-ovarian abscess. This report describes a case of an ovarian abscess arising within an endometrioma. The woman presented with pain, bloating, and a slightly elevated body temperature of 37.8°C. She had a history of endometrioma detected many years ago. The ultrasound image showed a large unilocular cyst, with a thickened cystic wall and accumulation of the dense parts of the content. The surgical specimen revealed typical endometrial glandular cells, endometrial stroma, and a pronounced inflammatory process around the cells.


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