Endometriosis in Pregnancy: A Case Report

Area of Science:

• Reproductive Medicine
• Gynecology
• Obstetrics

Background:

• Endometriosis is a condition affecting women of reproductive age, often associated with pelvic pain and increased risk of preterm labor.
• Diagnosis and management of endometriosis during pregnancy present unique challenges.
• The pathophysiology of endometriosis can lead to varied clinical presentations, complicating timely intervention.

Observation:

• A 27-year-old pregnant patient at 29 weeks gestation presented with severe abdominal pain and signs of preterm labor.
• Laboratory findings included anemia, elevated white blood cell count, liver function tests, and CA-125.
• A 9 cm hemorrhagic tubal mass, identified as an endometrioma, was discovered during an emergency Cesarean section.

Findings:

• The patient underwent a Cesarean section due to preterm labor and a diagnosed tubal endometrioma.
• Pathological examination confirmed the mass as an endometrioma.
• The patient experienced an uncomplicated postoperative recovery.

Implications:

• This case underscores the diverse presentations of endometriosis and its potential impact on pregnancy outcomes.
• Further research into effective, affordable, and non-invasive treatments for endometriosis is warranted.
• Improved diagnostic strategies are needed to address the significant health and financial burden of endometriosis.