Document Detail


Successful management of a ruptured endometrial cyst in acute leukemia.
MedLine Citation:
PMID:  20561614     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
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.
Authors:
Ayumi Taguchi; Kaori Koga; Yutaka Osuga; Akihisa Fujimoto; Aki Miyasaka; Tetsu Yano; Minieo Kurokawa; Yuji Taketani
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Publication Detail:
Type:  Journal Article     Date:  2010-06-18
Journal Detail:
Title:  Fertility and sterility     Volume:  95     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2010-12-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  292.e1-3     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Obstetrics and Gynecology, University of Tokyo, Tokyo, Japan.
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