Successful management of a ruptured endometrial cyst in acute leukemia.
OBJECTIVE
To report a case of acute abdomen due to rupture of ovarian endometrial cysts, manifested as a first symptom of acute leukemia.


METHODS
Case report.


METHODS
University hospital.


METHODS
A 28-year-old Japanese woman with acute abdomen.


METHODS
A diagnosis of rupture of endometrial cysts was made by ultrasonography and magnetic resonance imaging. A diagnosis of acute myeloid leukemia (FAB M5a subtype) was made by bone marrow aspiration.


METHODS
Remission-induction chemotherapy for leukemia was initiated. Meanwhile, endometrial cysts were managed expectantly. Once complete remission was achieved, laparoscopic surgery was attempted to remove ovarian cysts and abdominal fluid.


RESULTS
Patients tolerated laparoscopy with favorable postoperative course. Consolidation chemotherapy commenced without substantial delay.


CONCLUSIONS
Accurate diagnosis, optimal timing of surgery, and minimally invasive surgery with laparoscopy enabled us to manage this high-risk case to a favorable outcome.
Taguchi
Ayumi
A
Department of Obstetrics and Gynecology, University of Tokyo, Tokyo, Japan.
Koga
Kaori
K
Osuga
Yutaka
Y
Fujimoto
Akihisa
A
Miyasaka
Aki
A
Yano
Tetsu
T
Kurokawa
Minieo
M
Taketani
Yuji
Y
D000208:Acute Disease; D000328:Adult; D003560:Cysts / Q000209:etiology* / Q000473:pathology / Q000601:surgery*; D004717:Endometrium / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007938:Leukemia / Q000150:complications*; D008279:Magnetic Resonance Imaging; D019060:Minimally Invasive Surgical Procedures; D014591:Uterine Diseases / Q000150:complications* / Q000473:pathology / Q000601:surgery*