Case Report
A Case of Ruptured Decidualized Ovarian Endometrioma: Usefulness of Serial MRI for Determining Adequate Management
Table 1
Summary of seven cases of ruptured decidualized endometriotic cysts.
| | Authors (year) | Patient age (years) | Size (mm) | Time of rupture | Imaging | Preoperative diagnosis | Treatment during pregnancy |
| | Vercellini et al. (1992) [11] | 29 | 80 | Third trimester (35 weeks pregnant) | US | Bowel obstruction | Laparotomy (cyst enucleation and a cesarean section) | | Loh et al. (1998) [9] | 25 | 40 | First trimester (6 weeks pregnant) | US | Ectopic pregnancy | Laparoscopic ovarian cystectomy | | Garcia-Velasco et al. (1998) [7] | 25 | | First trimester (9 weeks pregnant) | US | Hemorrhagic corpus luteum or endometrioma | Laparotomy (left salpingo-oophorectomy) | | Gregora et al. (1998) [8] | 44 | 60 | Second trimester (17 weeks pregnant) | US | Endometriomas | Laparotomy (opening the cyst and stripping the lining) | | Ueda et al. (2010) [2] | 33 | 61 | Second trimester | US | Ovarian endometriosis | Peritoneal washing and drainage | | Reif et al. (2011) [10] | 25 | NA (after rupture) | Second trimester (27 weeks pregnant) | US | NA | Laparotomy (operative hemostasis and preterm cesarean section) | | Present study | 39 | | Second trimester (27 weeks pregnant) | US MRI | Rupture of decidualized endometriotic cyst | Conservative treatment, an elective cesarean section, and right ovarian cystectomy at 37-week pregnancy |
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NA: not applicable; US: ultrasonography; MRI: magnetic resonance imaging. The preoperative diagnosis of the ruptured tumor was not described. |
