Abstract
We describe a case of a 15-year-old girl with a several month history of chronic pelvic pain, due to a 5 cm pelvic tumour, presenting with acute abdomen. Urgent diagnostic laparoscopy revealed multiple pelvic adhesions and a focal extragenital pelvic tumour. Aft er laparoscopy, ultra-sound and magnetic resonance imaging and laboratory procedures (with normal value of oncomarkers) were performed, followed by explorative laparotomy and total tumorectomy. An extragenital pel-vic endometrioma was verifi ed on histo-pathological analysis.
Highlights
Juvenile extragenital endometriosis is extremely rare and mostly accidentally detected due to other associated symptoms (acute abdomen, torsion with pain, chronic pelvic pain, pronounced dysmenorrhea or premenstrual syndrome), usually in association with acute or chronic pelvic pain syndrome. [1,2] There are only rare, sporadic literature reports of juvenile extragenital endometriosis; we present this case of juvenile, focal, tumorous endometriosis that was accidentally detected as an atypical pelvic tumor in a 15-year-old girl with symptoms of acute abdomen after several months of intermittent pelvic pain.opted for laparoscopic surgery, with the parents’ consent
Juvenile extragenital endometriosis is extremely rare and mostly accidentally detected due to other associated symptoms, usually in association with acute or chronic pelvic pain syndrome. [1,2] There are only rare, sporadic literature reports of juvenile extragenital endometriosis; we present this case of juvenile, focal, tumorous endometriosis that was accidentally detected as an atypical pelvic tumor in a 15-year-old girl with symptoms of acute abdomen after several months of intermittent pelvic pain
Juvenile endometriosis is underlain by hormonal changes in puberty, being extremely rare
Summary
Juvenile extragenital endometriosis is extremely rare and mostly accidentally detected due to other associated symptoms (acute abdomen, torsion with pain, chronic pelvic pain, pronounced dysmenorrhea or premenstrual syndrome), usually in association with acute or chronic pelvic pain syndrome. [1,2] There are only rare, sporadic literature reports of juvenile extragenital endometriosis; we present this case of juvenile, focal, tumorous endometriosis that was accidentally detected as an atypical pelvic tumor in a 15-year-old girl with symptoms of acute abdomen after several months of intermittent pelvic pain.opted for laparoscopic surgery, with the parents’ consent. There were no signs of acute abdomen at the time, but gynecologic transabdominal ultrasonography (US) revealed the presence of a retrouterine paraovarian cystic tumor mass, 75x66 mm in size, with detectable flow within the tumor capsule; the ovaries and uterus showed normal morphometry.
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