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.
Copyright © 2011 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.