Ruptured Endometrioma Associated With Acute Appendicitis: A Case Report

Endometrioma is a localized form of endometriosis, usually found within the ovaries bilaterally, containing degenerated blood products resulting from bleeding of ectopic endometriotic tissue at different ages. Rupture of the endometrioma is a rare complication that may result in hemoperitoneum and peritonitis and thus presents similarly to other more common abdominal emergencies, and the concomitant presence of a ruptured endometrioma and another abdominal emergency, although exceptional, remains possible. Ultrasonography and sectional imaging can be used to assess a diagnosis that is often confirmed postoperatively. We present a case of a ruptured endometrioma with diffuse suppurated hemoperitoneum associated with acute appendicitis that was initially diagnosed as a complicated tubo-ovarian abscess.