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    1) A 28-year-old woman presented with a large abdominal mass and increased menstrual bleeding. During surgery, an 18x10 cm right ovarian cyst was found and drained of 1800 mL of chocolate-colored fluid, which is characteristic of endometriosis. 2) Histopathology revealed the cyst was an ovarian endometrioma (endometriotic cyst) with areas of serous cystadenoma (a benign ovarian tumor). 3) While endometriosis was suspected pre-operatively, the final diagnosis demonstrated this case was an example of a rare presentation where an endometriotic cyst was found to co-exist with a serous cystadenoma of the ovary.

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    1) A 28-year-old woman presented with a large abdominal mass and increased menstrual bleeding. During surgery, an 18x10 cm right ovarian cyst was found and drained of 1800 mL of chocolate-colored fluid, which is characteristic of endometriosis. 2) Histopathology revealed the cyst was an ovarian endometrioma (endometriotic cyst) with areas of serous cystadenoma (a benign ovarian tumor). 3) While endometriosis was suspected pre-operatively, the final diagnosis demonstrated this case was an example of a rare presentation where an endometriotic cyst was found to co-exist with a serous cystadenoma of the ovary.

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    Eposter on ovarian mass in term pregnancy

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    1) A 28-year-old woman presented with a large abdominal mass and increased menstrual bleeding. During surgery, an 18x10 cm right ovarian cyst was found and drained of 1800 mL of chocolate-colored fluid, which is characteristic of endometriosis. 2) Histopathology revealed the cyst was an ovarian endometrioma (endometriotic cyst) with areas of serous cystadenoma (a benign ovarian tumor). 3) While endometriosis was suspected pre-operatively, the final diagnosis demonstrated this case was an example of a rare presentation where an endometriotic cyst was found to co-exist with a serous cystadenoma of the ovary.

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    22 views1 page

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    pavani p
    1) A 28-year-old woman presented with a large abdominal mass and increased menstrual bleeding. During surgery, an 18x10 cm right ovarian cyst was found and drained of 1800 mL of chocolate-colored fluid, which is characteristic of endometriosis. 2) Histopathology revealed the cyst was an ovarian endometrioma (endometriotic cyst) with areas of serous cystadenoma (a benign ovarian tumor). 3) While endometriosis was suspected pre-operatively, the final diagnosis demonstrated this case was an example of a rare presentation where an endometriotic cyst was found to co-exist with a serous cystadenoma of the ovary.

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    of 1

    CHOCOLATE CYST WITH SEROUS CYSTADENOMA OF OVARY

    Dr Lankapothu Pushpa Pallavi, Postgraduate ,Department of OBGY,Andhra Medical College


    Under guidance of Dr.KVSM Sandhya Devi (Professor ) & Dr R.Padmaja (Associate Professor) ,dept of OBGY,AMC,VIZAG.

    INTRODUCTION PER OPERATIVE FINDINGS


    Large ovarian endometriotic cysts ( endometriomas) are 18*10 cms tense cyst was arising from right ovary.Right
    located usually on anterior surface of the ovary and are fallopian tube and epiploicae of intestines adherent to cyst
    associated with retraction,pigmentation and adhesions to wall.Chocolate fluid aspirated and found to be 1800 ml.Left
    posterior peritoneum. Ovarian endometriotic cysts often ovary 4*4 cm with multiple cysts punctured and found to be
    contain a thick,viscous dark brown fluid ( chocolate fluid) corpus luteal cyst with hemorrhagic fluid
    composed of hemosiderin derived from previous intraovarian
    HPE REPORT
    hemorrhage.It appears to be a marker for more extensive
    pelvic and intestinal disease.Exclusive ovarian disease is Section studied show ovarian cyst lined by cuboidal to
    found only in 1% of endometriosis patients. columnar epithelium with focal areas showing collection of
    hemosiderin laden macrophages. Ovarian stroma shows
    CASE REPORT
    endometrial glands in proliferative phase. Features are
    A 28 year P1L1 came to gynaecology OPD with complaints of suggestive of ovarian endometrioma with serous
    abdominal distention since 6 months and complaint of mass cystadenoma of ovary .
    in right lower abdomen since 3 months with dragging type of
    DISCUSSION
    pain .She had regular menstrual cycles with increased flow
    since 3 months associated with dysmenorrhoea.Her last child Ovarian endometriotic cysts need to be differentiated from
    birth was 5 years ago delivered by LSCS for failure to progress hemorrhagic corpus luteum cysts or neoplastic cysts.In larger
    ovarian endometriosis malignancy is to be excluded although
    of labour.On examination 16 X 10 cms firm midline mass with
    rare by histology.This ia an example of such rare
    restricted mobility,smooth surface,non tenderwith regular presentation where clinically and peropertively thought to be
    margins,all borders are palpable except lower border .On an endometriotic cyst but histopathology revealed serous
    bimanual examination uterus was retroverted, mobile,exact cystadenoma of ovary also.
    size could not be made out , mass is felt through all
    fornices.Mass was felt separately from uterus .Mass
    movements are not transmitted through cervix.
    INVESTIGATIONS
    CA-125 was 75.2IU/mL
    USG pelvis – Complex right ovarian cyst
    MRI pelvis – Right ovarian dermoid cyst
    TREATMENT
    Right salphingo-oopherectomy

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