Abstract
Video Objective To demonstrate an unusual presentation of endometriosis. Setting We describe a case of a 35 years-old woman referred to our center. The patient had no relevant past medical. She was asymptomatic but, in an annual check up, it was identified a large complex mass in the pelvis. The pre-operative investigation involved a MRI and ultrasound with bowel preparation that showed a 22cm endometrioma. The patient had no clinical treatment. We scheduled a surgical procedure for endometriosis. Interventions A step-by-step surgical video, demonstrating a systematic approach, indicating surgical landmarks and a proper technique. It emphasizes mainly that specially in awkward situation we must pay attention even more and that it is possible to perform through laparoscopy. Conclusion Besides rare, large endometriomas can exist and a good strategy with surgical landmarks are fundamental.
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