Spontaneously Ruptured Endometrioma Associated with Endometrioid Adenocarcinoma: MR Findings

Abstract

A 38-year-old woman was transferred to the hospital with lower abdominal pain. Magnetic resonance (MR) imaging revealed an irregular ovarian wall with a solid component and a ‰uid-‰uid level in the cystic mass and the pelvic space, which was thought to be pathognomonic for the rupture of an endometrioma with a malignant ovarian tumor. Histologic examination following adnexectomy revealed a ruptured endometrioma associated with endometrioid adenocarcinoma. A ‰uid-‰uid level in the cystic mass and pelvic space may be pathognomonic MRI feature for a rupture of either an endometrioma or an endometrioma with a malignant tumor.

Rupture of a Giant Caesarean Scar Endometriosis Nodule - A Case Report and Literature Review

“…Endometriosis rupture is very rare complication with only a few cases being reported in literature for pelvic endometrial cyst and anterior abdominal wall endometriosis [27]. This will produce haemorrhage into peritoneum.…”