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Cite this article
Near lethal endometriosis and a massive (64 kg) endometrioma: case report and review of the literature
1 Department of Surgery, Saint Barnabas Medical Center, Livingston, New Jersey (USA)
Clin. Exp. Obstet. Gynecol. 2009, 36(1), 49–52;
Published: 10 March 2009
A 51-year-old morbidly obese, hypertensive, anemic, and amenorrheic female presented with anuria and respiratory symptoms. The patient had a distinctly massive abdomen with necrotic anterior abdominal wall, and laboratory findings revealed a leukocytosis, profound anemia, coagulopathy and renal failure. An abdominal sonogram showed a large, complex intra-abdominopelvic mass and ascites. At surgery, a massive, cystic left ovarian mass, 37l of ascitic/cyst fluid, and several peritoneal nodules were removeda total of 64 kg of tumorous tissue. Histopathological evaluation of the mass revealed an endometrioma. We present this rare case of severe endometriosis in a morbidly obese patient who presented with an exceptionally large endometrioma (64 kg), multifactorial respiratory and renal failure, coagulopathy, and profound anemia.