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Nidhi Bansal, Hiremath.P.B, Meenal C ,SPArunkumar, Reshma Hiremath


Endometrioma or endometriotic cyst or chocolate cyst is the name given to endometriosis of the ovary. These cysts contain dark colored blood products due to repeated hemorrhage during the menstrual cycle. Their size usually varies from 2-5cms, but may enlarge up to 20cms. Commonly sites of endometriotic cysts are in the ovary (75%), uterovesical fold / pouch of Douglas (70 %), broad ligament (50%) and uterosacral ligaments (35%), and rarely found in the uterus (10 %) or colon (5%).The gold standard modality for diagnosis of endometriosis is visualization of typical lesions during laparoscopy or laparotomy and histopathological confirmation. In this case report, we are high lighting a large endometrioma and the preoperative diagnostic dilemma. The intraoperative picture appeared as a large hemorrhagic ovarian cyst. However, the diagnosis of endometrioma was made by demonstrating typical spiral arterioles and endometrium in the cyst wall.

Keywords: Endometriosis, Chocolate cyst, Endometrioma, Infertility, Laparoscopy, Laparotomy.

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