Large Endometrioma That Triggered a Hypertensive Emergency: A Case Report

Overview

Journal Case Rep Obstet Gynecol

Publisher Wiley

Specialty Gynecology & Obstetrics

Date 2024 Oct 31

PMID 39479462

Authors

Varnita Vishwanath

Gregory Marchand

Ali Azadi

Affiliations

Soon will be listed here.

Abstract

Endometriosis is a common gynecological condition in women of reproductive age and has variable symptomology such as pelvic pain, menorrhagia, dysmenorrhea, dyspareunia, and infertility. Endometriomas are a form of endometriosis and are characterized by cystic masses most commonly found on the ovaries. This case discusses the management of a rare occurrence of a 25-cm endometrioma in a patient without a prior diagnosis of endometriosis, who presented to the emergency room in an acute hypertensive emergency. It is believed that the large cyst caused a mass effect against renal vasculature precipitating renovascular hypertension that required immediate intervention. This case was approached with minimally invasive surgical removal of the cyst and lysis of adhesions without postoperative complications.

References

Mu F, Rich-Edwards J, Rimm E, Spiegelman D, Forman J, Missmer S . Association Between Endometriosis and Hypercholesterolemia or Hypertension. Hypertension. 2017; 70(1):59-65. PMC: 6469492. DOI: 10.1161/HYPERTENSIONAHA.117.09056. View

Foti P, Farina R, Palmucci S, Vizzini I, Libertini N, Coronella M . Endometriosis: clinical features, MR imaging findings and pathologic correlation. Insights Imaging. 2018; 9(2):149-172. PMC: 5893487. DOI: 10.1007/s13244-017-0591-0. View

Smolarz B, Szyllo K, Romanowicz H . Endometriosis: Epidemiology, Classification, Pathogenesis, Treatment and Genetics (Review of Literature). Int J Mol Sci. 2021; 22(19). PMC: 8508982. DOI: 10.3390/ijms221910554. View

Zografou M, Naem A, Lagana A, Krentel H . A Large Ovarian Endometrioma Occupying the Abdominal Cavity in a Postmenopausal Patient: A Case Report. Medicina (Kaunas). 2023; 59(8). PMC: 10456325. DOI: 10.3390/medicina59081398. View

Parasar P, Ozcan P, Terry K . Endometriosis: Epidemiology, Diagnosis and Clinical Management. Curr Obstet Gynecol Rep. 2017; 6(1):34-41. PMC: 5737931. DOI: 10.1007/s13669-017-0187-1. View

Capaccione K, Levin M, Tchabo N, Darcey J, Amorosa J . Massive endometrioma presenting with dyspnea and abdominal symptoms. Radiol Case Rep. 2018; 12(4):741-745. PMC: 5823388. DOI: 10.1016/j.radcr.2017.06.009. View

Morassutto C, Monasta L, Ricci G, Barbone F, Ronfani L . Incidence and Estimated Prevalence of Endometriosis and Adenomyosis in Northeast Italy: A Data Linkage Study. PLoS One. 2016; 11(4):e0154227. PMC: 4839734. DOI: 10.1371/journal.pone.0154227. View

Chalisey A, Karim M . Hypertension and hydronephrosis: rapid resolution of high blood pressure following relief of bilateral ureteric obstruction. J Gen Intern Med. 2012; 28(3):478-81. PMC: 3579972. DOI: 10.1007/s11606-012-2183-5. View

. Practice bulletin no. 114: management of endometriosis. Obstet Gynecol. 2010; 116(1):223-236. DOI: 10.1097/AOG.0b013e3181e8b073. View

10.

Naem A, Shamandi A, Al-Shiekh A, Alsaid B . Free large sized intra-abdominal endometrioma in a postmenopausal woman: a case report. BMC Womens Health. 2020; 20(1):190. PMC: 7469317. DOI: 10.1186/s12905-020-01054-x. View

11.

Allan Z . A case of endometriosis causing acute large bowel obstruction. Int J Surg Case Rep. 2018; 42:247-249. PMC: 5752211. DOI: 10.1016/j.ijscr.2017.12.031. View

12.

Galczynski K, Jozwik M, Lewkowicz D, Semczuk-Sikora A, Semczuk A . Ovarian endometrioma - a possible finding in adolescent girls and young women: a mini-review. J Ovarian Res. 2019; 12(1):104. PMC: 6839067. DOI: 10.1186/s13048-019-0582-5. View