Voluminous endometrioma in a postmenopausal woman without previous hormonal therapy. Case report

Abstract

Endometriosis, representing endometrial-like tissue located outside the uterus, is a commonly occurring benign gynecologic disease in approximately 6% to 10% of fertile woman. Postmenopausal endometriosis has a rare occurrence, because the absence of oestrogenic hormone production should arrest disease progression due to the fact that endometriosis is considered an oestrogen-dependent condition, but still does occurs in 2%-5% of postmenopausal women. The majority of the cases reported were under hormone replacement therapy. We present a case of voluminous ovarian endometriosis in a 54-year-old postmenopausal obese. Caucasian woman without previous use of hormonal therapy and without history of endometriosis or infertility at her reproductive age. We can speculate that obesity is a possible risk factor for postmenopausal endometriosis, or that the celomic metaplasia theory can be applied on this case.