Abstract：
Endometrioma is the localization of endometriosis in ovary which often develops as cyst. The condition can be complicated with infection, torsion and rupture leading to significant hemoperitoneum and ascites. We present here a 28-year female P2 L1 presented with the features of acute abdomen and severe anemia referred from other hospital where pain management was done. She had raised Ca-125 level, negative Urine Beta HCG and USG findings of left endometrioma with degenerating subserosal fibroid. The improvement of her general condition with analgesics was misleading however a static hematocrit level despite blood transfusion raised suspicion of ongoing pathology leading to blood loss and diagnostic paracentesis confirmed the hemoperitoneum while awaiting of CT report. She underwent Emergency Laparotomy which revealed hemoperitoneum of 2000ml and right ruptured ovarian endometrioma measuring and left ovarian cyst measuring 6x6 cm was noted. The postoperative period was uneventful. Keywords: Acute abdomen; case report; endometriosis; hemoperitoneum; ruptured endometrioma.
摘要：
子宫内膜瘤是卵巢中子宫内膜异位症的定位，通常发展为囊肿。这种情况可能会并发感染，扭转和破裂导致严重的腹膜和腹水。我们在这里介绍一名28岁的女性P2L1，其特征是急腹症和严重贫血，这些特征是从其他进行疼痛管理的医院转诊的。她提高了Ca-125水平,阴性尿β-HCG和左子宫内膜瘤伴变性浆膜下肌瘤的USG发现。止痛药改善了她的一般状况，但令人误解的是，尽管输血增加了对持续病理导致失血的怀疑，但静态血细胞比容水平仍在等待CT报告时证实了腹膜积血。行急诊剖腹探查，发现腹腔积血2000ml，右侧卵巢子宫内膜瘤破裂，左侧卵巢囊肿6x6cm。术后时间顺利。关键词：急腹症;病例报告;子宫内膜异位症;腹腔积血;子宫内膜瘤破裂.
