Near lethal endometriosis and a massive (64 kg) endometrioma: case report and review of the literature.
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.
Sakpal
S V
SV
Department of Surgery, Saint Barnabas Medical Center, Livingston, New Jersey 07039, USA.
Patel
C
C
Chamberlain
R S
RS
D058186:Acute Kidney Injury / Q000209:etiology; D001202:Ascitic Fluid; D004715:Endometriosis / Q000150:complications* / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D009767:Obesity, Morbid / Q000150:complications*; D012131:Respiratory Insufficiency / Q000209:etiology