title: Near lethal endometriosis and a massive (64 kg) endometrioma: case report and review of the literature.
abstract: 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.
authors.affiliation: Department of Surgery, Saint Barnabas Medical Center, Livingston, New Jersey 07039, USA.
authors.forename: S V
authors.initials: SV
authors.lastname: Sakpal
authors.forename: C
authors.initials: C
authors.lastname: Patel
authors.forename: R S
authors.initials: RS
authors.lastname: Chamberlain
mesh_terms: 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