BILATERAL FETAL HEAD SIZE ENDOMETRIOMAS WITH DEEP INFILTRATING ENDOMETRIOSIS IN AN ADOLESCENT GIRL
Abstract
We describe a rare case of bilateral fetal head size endometriomas with deep infiltrating endometriosis in a 19 years unmarried adolescent girl with sub-acute pain and 16-18 weeks mass lower abdomen. Exploratory laparotomy confirms bilateral fetal head size endometriomas with deep infiltrating endometriosis. Dense areas with periovarian, peritubular adhesions present in pelvis, bladder, bowel, and ligaments attaching uterus to the pelvis. Bilateral excision of endometriomas and extensive endometriotic implants with done. Only minimal ovarian tissue could be conserved on both sides. In teenage girls’ very painful menstrual periods that interfere with daily life may signal an increased risk of developing the most extensive form of endometriosis. Early diagnosis and treatment are promising for Teen Endometriosis.
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References
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