Giant Ovarian Endometriom...

A 33-year-old woman was referred to a medical facility due to recurrent abdominal pain, abdominal swelling, and difficulty in breathing. Her symptoms started as lower abdominal pain with dysmenorrhea and heavy menstrual bleeding. She had several investigations done without a definitive diagnosis being made. She later developed abdominal swelling and difficulty in breathing and had abdominocentesis and thoracocentesis done due to fluid collection in the abdomen and pleural space. She had presumptive therapy for tuberculosis in another facility. A CT scan later revealed a huge, complex, non-enhancing peritoneal cyst extending from S3 to T10 vertebral levels with hyperdense areas noted within it (Figures 1 and 2). She was diagnosed with a left ovarian endometrioma with dense adhesions between the cyst and abdominopelvic structures with umbilical endometriotic deposits. No ascites were seen. She underwent exploratory laparotomy, and the uterus, tubes, and right ovary were grossly normal except for adhesions.