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Updated: Apr 27, 2026

07:07
Endoscopy Guided Photoablation of Endometrial Cysts using a 980 nm Laser with a Contact Fiber in Mares
Published on: July 16, 2020
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Giant intraabdominal endometrial cyst.
Azhar Ali Shah1, Niaz Ahmed Soomro2, Rabender Kumar Talib3
1Department of Surgery, Ghulam Muhammad Mahar Medical College, Sukkur.
Summary
A rare case of endometriosis presented as a massive 214 kg abdominal cyst in a 50-year-old female. Surgical removal was successful, highlighting the potential for extreme presentation of this gynecological condition.
Area of Science:
- Gynecology
- Pathology
Background:
- Endometriosis involves endometrial tissue growing outside the uterus, commonly on ovaries and peritoneum.
- This ectopic tissue responds to hormonal cycles, often exacerbating symptoms.
Observation:
- A 50-year-old female presented with years of progressive abdominal distension and pain.
- A CT scan revealed a massive intra-abdominal cyst of unknown origin causing significant compression.
Findings:
- A high-risk surgery successfully removed a 214 kg (471 lbs) cyst.
- Histopathology confirmed the cyst originated from endometrial tissue, consistent with endometriosis.
Implications:
- This case demonstrates an exceptionally large presentation of endometriosis.
- It underscores the importance of considering endometriosis in cases of massive abdominal masses, even in post-menopausal women.
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