Large Endometrioma That Triggered a Hypertensive Emergency: A Case Report.

Area of Science:

• Gynecology
• Nephrology
• Surgical Management

Background:

• Endometriosis is a prevalent gynecological condition affecting women of reproductive age.
• Endometriomas are ovarian cysts associated with endometriosis, presenting diverse symptoms.
• Renovascular hypertension is a severe condition often requiring urgent intervention.

Observation:

• A 25-cm endometrioma was diagnosed in a patient presenting with hypertensive emergency.
• The large endometrioma was suspected to cause mass effect on renal vasculature.
• The patient had no prior diagnosis of endometriosis.

Findings:

• Minimally invasive surgical removal of the large endometrioma was performed.
• Lysis of adhesions was conducted during the surgery.
• The patient experienced no postoperative complications.

Implications:

• This case highlights a rare presentation of endometrioma causing renovascular hypertension.
• Early diagnosis and management of large endometriomas are crucial.
• Minimally invasive surgery can be effective for complex endometrioma cases.