Ruptured Endometrioma with Hemoperitoneum Requiring Emergency Laparotomy: A Case Report

  • Sangam Rai Department of Obstetrics and Gynaecology, Kathmandu Model Hospital
  • Ganesh Dangal Department of Obstetrics and Gynaecology, Kathmandu Model Hospital
  • Aruna Karki Department of Obstetrics and Gynaecology, Kathmandu Model Hospital
  • Peru Pradhan Department of Obstetrics and Gynaecology, Kathmandu Model Hospital
  • Ranjana Shrestha Department of Obstetrics and Gynaecology, Kathmandu Model Hospital
  • Kabin Bhattachan Department of Obstetrics and Gynaecology, Kathmandu Model Hospital
  • Sunita Maharajan Department of Obstetrics and Gynaecology, Kathmandu Model Hospital
  • Srijana Bhandari Department of Obstetrics and Gynaecology, Kathmandu Model Hospital
  • Amog Basnyat Department of Obstetrics and Gynaecology, Kathmandu Model Hospital
DOI: https://doi.org/10.33314/jnhrc.v21i4.4691

Abstract

Endometrioma is the localization of endometriosis in ovary which often develops as cyst. The condition can be complicated with infection, torsion and rupture leading to significant hemoperitoneum and ascites.
We present here a 28-year female P2 L1 presented with the features of acute abdomen and severe anemia referred from other hospital where pain management was done. She had raised Ca-125 level, negative Urine Beta HCG and USG findings of left endometrioma with degenerating subserosal fibroid. The improvement of her general condition with analgesics was misleading however a static hematocrit level despite blood transfusion raised suspicion of ongoing pathology leading to blood loss and diagnostic paracentesis confirmed the hemoperitoneum while awaiting of CT report. She underwent Emergency Laparotomy which revealed hemoperitoneum of 2000ml and right ruptured ovarian endometrioma measuring and left ovarian cyst measuring 6x6 cm was noted. The postoperative period was uneventful.
Keywords: Acute abdomen; case report; endometriosis; hemoperitoneum; ruptured endometrioma.

Published
2024-03-31
How to Cite
RaiS., DangalG., KarkiA., PradhanP., ShresthaR., BhattachanK., MaharajanS., BhandariS., & BasnyatA. (2024). Ruptured Endometrioma with Hemoperitoneum Requiring Emergency Laparotomy: A Case Report. Journal of Nepal Health Research Council, 21(4), 689-691. https://doi.org/10.33314/jnhrc.v21i4.4691
Issue
Vol. 21 No. 4 (2023): Issue 61 Oct-Dec,2023
Section
Case Report

Copyright (c) 2024 Sangam Rai, Ganesh Dangal, Aruna Karki, Peru Pradhan, Ranjana Shrestha, Kabin Bhattachan, Sunita Maharajan, Srijana Bhandari, Amog Basnyat

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