Friday, March 26, 2010

Endometriomas in adolescents

This case was previously presented in part at the North American Society for Pediatric and Adolescent Gynecology 23rd annual clinical meeting, which was held in San Antonio, Texas, on April 24, 2009.
Kelly Nicole Wright, M.D.ab, Marc R. Laufer, M.D.ab
Received 3 January 2010; received in revised form 4 February 2010; accepted 5 February 2010. published online 23 March 2010.
Corrected Proof

Objective

To report a rare presentation of bilateral endometriomas in an adolescent and describe characteristics of endometriomas.

Design

Case report.

Setting

Major academic medical center.

Patient(s)

An 18-year-old G0 presented with an incidentally found 35-cm pelvic mass that was found to be bilateral endometriomas.

Intervention(s)

Exploratory laparotomy with resection of endometrioma cyst walls and lysis of adhesions.

Main Outcome Measure(s)

The incidence, pathogenesis, fertility implications, and treatment options for endometriomas in adolescents.

Result(s)

Endometriomas are rare in adolescents. There are no case reports in the literature to date.

Conclusion(s)

Endometriosis should be considered in adolescents presenting with bilateral complex ovarian masses regardless of their size.