Endometrial Cyst Presenting as a Vague Abdominal Lump in a Postmenopausal Woman

Abstract

A postmenopausal woman presented with a predominantly right-sided abdominal lump, insidious in onset and not associated with any aggravating or relieving factors. Physical examination revealed a soft cystic mass extending from the right hypochondrium to the right iliac fossa region crossing the midline. Ultrasonography of the abdomen and pelvis showed a large cystic anechoic area noted in the abdomen extending from the epigastric region to the pelvis. Contrast-enhanced CT of the abdomen and pelvis showed a large non-enhancing cystic lesion in the pelvis suggesting the possibility of a right ovarian cyst or mesenteric cyst. Laparotomy was performed and the excised specimen was sent for histopathological analysis, which confirmed it to be an endometrial cyst.

A Large Ovarian Endometrioma Occupying the Abdominal Cavity in a Postmenopausal Patient: A Case Report

“…This case is thought to be the largest ovarian endometrioma documented in the English literature [12,15]. Another report by Raju et al [16] docu-…”

“…This case is thought to be the largest ovarian endometrioma documented in the English literature [ 12 , 15 ]. Another report by Raju et al [ 16 ] documented a 30 cm endometrioma in a 53-year-old patient that contained 5 L of clear, serous fluid. Yahya et al [ 15 ] reported a case of a 30 cm ovarian endometrioma that contained 5000 mL of dark brown, cystic fluid in a 33-year-old patient.…”