Complicated Endometrioma of Ovarian Torsion : A Case Report atthe Teaching Hospital of Angre, Abidjan, Ivory Coast

Authors

  • Eléonore Gbary Lagaud Gynecologist-Obstetrician at the Teaching Hospital of Angré, Department Mother-Child, Félix Houphouet Boigny University, Cote D’Ivoire Author
  • Soh Koffi Gynecologist-Obstetrician at the Teaching Hospital of Angré, Department Mother-Child, Félix Houphouet Boigny University, Cote D’Ivoire Author
  • Ramata Kouakou-Kouraogo Gynecologist-Obstetrician at the Teaching Hospital of Angré, Department Mother-Child, Félix Houphouet Boigny University, Cote D’Ivoire Author
  • Privat Akobé Gynecologist-Obstetrician at the Teaching Hospital of Angré, Department Mother-Child, Félix Houphouet Boigny University, Cote D’Ivoire Author
  • N’Golo Soro Gynecologist-Obstetrician at the Teaching Hospital of Angré, Department Mother-Child, Félix Houphouet Boigny University, Cote D’Ivoire Author
  • Roland Adjoby Gynecologist-Obstetrician at the Teaching Hospital of Angré, Department Mother-Child, Félix Houphouet Boigny University, Cote D’Ivoire Author

Keywords:

Endometrioma, Ovarian Cyst, Infertility, Cystectomy

Abstract

Ovary is the most common location of external endometrioma. It is the extension of endometriosis often misunderstood or undiagnosed. It is a source of infertility.

Endometrioma, when its size is ≥ 5 cm, can be complicated by a torsion of the ovary involved. In this case it is a diagnostic and therapeutic emergency with respect to the many complications of ovarian torsion including necrosis.

We report a case of endometrioma diagnosed by a torsion of the ovary. The clinical symptomatology was that of a surgical abdomen. Abdominal ultrasound was of great help for the diagnosis. But the certainty of the endometrioma was provided by the histology of the surgical specimen. 

The “gold standard” of management remains laparoscopic cystectomy. This indication depends on many parameters, the most important of which is the intraoperative viability of the ovary after its detorsion. Ovarian conservation improves postoperative pregnancy rates. In all cases, a GnRH analogue must be started with postoperative treatment.

Author Biography

  • Eléonore Gbary Lagaud, Gynecologist-Obstetrician at the Teaching Hospital of Angré, Department Mother-Child, Félix Houphouet Boigny University, Cote D’Ivoire

    Gbary Lagaud Eléonore, Gynecologist-Obstetrician at the Teaching Hospital of Angré, Department Mother-Child, Félix Houphouet Boigny University, Cote D’Ivoire

Downloads

Published

2022-07-10

Issue

Vol. 4 No. 4 (2022): Volume 4, Issue 4

Section

Articles