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A 33-years-old woman referred to our hospital with a huge abdominopelvic mass. Ultrasonographically, a septated cyst 24.3 × 17.6 × 16.6 cm in dimension without neovascularization was diagnosed. Serum CA125 and CA19-9 levels were 70.4 and 383,1 U/ml, respectively. Right salpingooopherectomy was performed through laparotomy and pathologic examination revealed an endometrioma. The cyst was 5 kg in weight, 26 × 18 × 17 cm in dimension, and contains 3,250 ml of chocolate brown fluid.

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