Radiology Case Reports (Feb 2023)

A case of endometriotic cyst enlargement during pregnancy owing to desmoplasia and rupture at 36 weeks of gestation

  • Shohei Tanabe, MD,
  • Sachiyo Sugino, MD,
  • Kotaro Ichida, PhD,
  • Kiyoshi Niiya, PhD,
  • Syuji Morishima, PhD

Journal volume & issue
Vol. 18, no. 2
pp. 472 – 475

Abstract

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Decidualized ovarian endometrioma is a rare phenomenon that occurs during pregnancy. A 43-year-old pregnant woman with an endometriotic cyst increased owing to desmoplasia presented to us urgently with abdominal pain and was performed a cesarean section at 36 weeks and 1 day of pregnancy. The left ovarian cyst was noted to be partially ruptured, and the pathological diagnosis was an endometriotic cyst with desmoplasia. Endometriotic cysts may enlarge during pregnancy owing to desmoplasia and rupture in the last trimester of pregnancy, causing acute abdomen.

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