Ruptured Endometrioma Presenting as
Acute Abdomen with Highly Raised Serum
CA-125 Levels: A Case Report
1109-1110
Correspondence
Anagha Kamath, Assistant Professor
Department of Obstetrics and Gynaecology,
Kasturba Medical College, Behind Leo Furnitures,
Karangalpady, Mangalore.
A 35 yr old lady, para 2, living 2, with 2 previous caesarean sections, presented with the features of acute abdomen. The clinical and laboratory evaluations revealed a bilateral ovarian mass with solid and cystic components, with raised serum CA-125 levels and raised ESR. The differential diagnosis included abdominal or genital tuberculosis, secondary carcinoma of the ovaries and endometriomas. This case is being reported and discussed in detail, for which an emergency exploratory laporotomy was performed. The intraoperative features suggested the diagnosis of spontaneous peritonitis which was secondary to ruptured b/l ovarian endometriomas.