Publication:

Giant ovarian endometrioma presenting as intestinal obstruction

Ovarian endometriomas, also commonly referred to as chocolate cysts are seldom found in postmenopausal women. Ovarian endometriomas rarely exceed 10-15 cm in diameter. Its symptoms are non-specific and presentation as acute intestinal obstruction is extremely rare. The present case is of a 66 years old postmenopausal female who presented with symptoms of acute intestinal obstruction. On investigation she was detected with a large right ovarian mass occupying almost entire abdominal cavity and adherent to appendix. She underwent exploratory laparotomy with complete excision of mass and appendicectomy.