Silent Threat: Bilateral Giant Asymptomatic Endometriotic Cysts With Unilateral Sudden Rupture—A Case Report
Endometriotic cysts are common, but bilateral giant endometriosis cyst with asymptomatic cases are extremely rare. Rupture is also uncommon, yet when it occurs, it can mimic appendicitis or ectopic pregnancy due to peritoneal irritation, often requiring emergency intervention. A 25-year-old woman pr...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2025-01-01
|
| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/crog/1739044 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849425967882174464 |
|---|---|
| author | Muhammad Dwi Priangga Adhitya Yudha Maulana Yasmine Syifa Nabila Budi Syauqi Maulana Idhar Herbert Situmorang |
| author_facet | Muhammad Dwi Priangga Adhitya Yudha Maulana Yasmine Syifa Nabila Budi Syauqi Maulana Idhar Herbert Situmorang |
| author_sort | Muhammad Dwi Priangga |
| collection | DOAJ |
| description | Endometriotic cysts are common, but bilateral giant endometriosis cyst with asymptomatic cases are extremely rare. Rupture is also uncommon, yet when it occurs, it can mimic appendicitis or ectopic pregnancy due to peritoneal irritation, often requiring emergency intervention. A 25-year-old woman presented with nausea, vomiting, and an enlarging abdominal lump. Ultrasonography revealed bilateral ovarian cystic masses with ground glass appearances and free subhepatic fluid. Due to worsening symptoms despite initial resuscitation, emergency exploratory laparotomy was performed. Intraoperatively, a ruptured right ovarian cyst (20×15×15 cm) with extensive adhesions to the posterior uterus, rectum, and right ovarian fossa was identified, along with a left ovarian endometriotic cyst (12×10×10 cm). The patient underwent right salpingo-oophorectomy, left cystectomy, and ureterolysis. Histopathology confirmed endometriotic cysts. Rapid surgical intervention is crucial in ruptured cysts to minimize adhesion formation and preserve fertility. Postoperatively, continuous hormonal therapy, such as oral progesterone or an intrauterine device, is recommended to decrease recurrence. |
| format | Article |
| id | doaj-art-3f98b379f07f4489b6058d19da375ceb |
| institution | Kabale University |
| issn | 2090-6692 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-3f98b379f07f4489b6058d19da375ceb2025-08-20T03:29:35ZengWileyCase Reports in Obstetrics and Gynecology2090-66922025-01-01202510.1155/crog/1739044Silent Threat: Bilateral Giant Asymptomatic Endometriotic Cysts With Unilateral Sudden Rupture—A Case ReportMuhammad Dwi Priangga0Adhitya Yudha Maulana1Yasmine Syifa Nabila Budi2Syauqi Maulana Idhar3Herbert Situmorang4Department of Obstetrics and GynecologyObstetric and Gynecology ResidentDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyDepartment of Obstetrics and GynecologyEndometriotic cysts are common, but bilateral giant endometriosis cyst with asymptomatic cases are extremely rare. Rupture is also uncommon, yet when it occurs, it can mimic appendicitis or ectopic pregnancy due to peritoneal irritation, often requiring emergency intervention. A 25-year-old woman presented with nausea, vomiting, and an enlarging abdominal lump. Ultrasonography revealed bilateral ovarian cystic masses with ground glass appearances and free subhepatic fluid. Due to worsening symptoms despite initial resuscitation, emergency exploratory laparotomy was performed. Intraoperatively, a ruptured right ovarian cyst (20×15×15 cm) with extensive adhesions to the posterior uterus, rectum, and right ovarian fossa was identified, along with a left ovarian endometriotic cyst (12×10×10 cm). The patient underwent right salpingo-oophorectomy, left cystectomy, and ureterolysis. Histopathology confirmed endometriotic cysts. Rapid surgical intervention is crucial in ruptured cysts to minimize adhesion formation and preserve fertility. Postoperatively, continuous hormonal therapy, such as oral progesterone or an intrauterine device, is recommended to decrease recurrence.http://dx.doi.org/10.1155/crog/1739044 |
| spellingShingle | Muhammad Dwi Priangga Adhitya Yudha Maulana Yasmine Syifa Nabila Budi Syauqi Maulana Idhar Herbert Situmorang Silent Threat: Bilateral Giant Asymptomatic Endometriotic Cysts With Unilateral Sudden Rupture—A Case Report Case Reports in Obstetrics and Gynecology |
| title | Silent Threat: Bilateral Giant Asymptomatic Endometriotic Cysts With Unilateral Sudden Rupture—A Case Report |
| title_full | Silent Threat: Bilateral Giant Asymptomatic Endometriotic Cysts With Unilateral Sudden Rupture—A Case Report |
| title_fullStr | Silent Threat: Bilateral Giant Asymptomatic Endometriotic Cysts With Unilateral Sudden Rupture—A Case Report |
| title_full_unstemmed | Silent Threat: Bilateral Giant Asymptomatic Endometriotic Cysts With Unilateral Sudden Rupture—A Case Report |
| title_short | Silent Threat: Bilateral Giant Asymptomatic Endometriotic Cysts With Unilateral Sudden Rupture—A Case Report |
| title_sort | silent threat bilateral giant asymptomatic endometriotic cysts with unilateral sudden rupture a case report |
| url | http://dx.doi.org/10.1155/crog/1739044 |
| work_keys_str_mv | AT muhammaddwipriangga silentthreatbilateralgiantasymptomaticendometrioticcystswithunilateralsuddenruptureacasereport AT adhityayudhamaulana silentthreatbilateralgiantasymptomaticendometrioticcystswithunilateralsuddenruptureacasereport AT yasminesyifanabilabudi silentthreatbilateralgiantasymptomaticendometrioticcystswithunilateralsuddenruptureacasereport AT syauqimaulanaidhar silentthreatbilateralgiantasymptomaticendometrioticcystswithunilateralsuddenruptureacasereport AT herbertsitumorang silentthreatbilateralgiantasymptomaticendometrioticcystswithunilateralsuddenruptureacasereport |