Endometrioid ovarian carcinoma during pregnancy presenting with acute rupture.
BACKGROUND
Endometrioid ovarian carcinoma is rarely diagnosed during pregnancy and is generally asymptomatic. We present a case of endometrioid ovarian carcinoma during pregnancy that presented with acute rupture, and discuss options for management.


METHODS
A primigravid woman presented at 26 weeks' gestation with severe abdominal pain. At laparotomy, an adnexal mass was found to have ruptured. The mass was identified postoperatively as an endometrioid ovarian carcinoma. The decision was made to perform Caesarean section with fertility-sparing surgical management at 34 weeks to maximize maternal and fetal outcomes.


CONCLUSIONS
To our knowledge, this is the first reported case of endometrioid ovarian carcinoma presenting with rupture in pregnancy. The differential diagnosis of severe abdominal pain during pregnancy should include rupture of ovarian malignancy.
Department of Obstetrics and Gynecology, London Health Sciences Centre, London ON.
Stephanie
S
Gottheil
Department of Obstetrics and Gynecology, London Health Sciences Centre, London ON.
Jacob
J
McGee
D000230:Adenocarcinoma / Q000473:pathology* / Q000628:therapy; D000328:Adult; D000077216:Carcinoma, Ovarian Epithelial; D005260:Female; D006801:Humans; D009375:Neoplasms, Glandular and Epithelial / Q000473:pathology* / Q000628:therapy; D010051:Ovarian Neoplasms / Q000473:pathology* / Q000628:therapy; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000473:pathology* / Q000628:therapy; D012422:Rupture, Spontaneous
epithelial ovarian cancer; fertility-sparing surgery; pregnancy; rupture