Related Experiment Video
Updated: Jun 12, 2026
Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
Successful management of a ruptured endometrial cyst in acute leukemia
Ayumi Taguchi1, Kaori Koga, Yutaka Osuga
1Department of Obstetrics and Gynecology, University of Tokyo, Tokyo, Japan.
Objective:
To report a case of acute abdomen due to rupture of ovarian endometrial cysts, manifested as a first symptom of acute leukemia.
Design:
Case report.
Setting:
University hospital.
Patient(S):
A 28-year-old Japanese woman with acute abdomen.
Intervention(S):
A diagnosis of rupture of endometrial cysts was made by ultrasonography and magnetic resonance imaging. A diagnosis of acute myeloid leukemia (FAB M5a subtype) was made by bone marrow aspiration.
Main Outcome Measure(S):
Remission-induction chemotherapy for leukemia was initiated. Meanwhile, endometrial cysts were managed expectantly. Once complete remission was achieved, laparoscopic surgery was attempted to remove ovarian cysts and abdominal fluid.
Result(S):
Patients tolerated laparoscopy with favorable postoperative course. Consolidation chemotherapy commenced without substantial delay.
Conclusion(S):
Accurate diagnosis, optimal timing of surgery, and minimally invasive surgery with laparoscopy enabled us to manage this high-risk case to a favorable outcome.
