A case of chocolate cyst rupture in a 14-year-old female

Abstract

  Here, we present a rare case of ovarian chocolate cyst rupture in an adolescent female. A 14-year-old female presented with severe abdominal pain. Imaging, including ultrasonography and computed tomography, detected a cystic tumor of the right ovary. Laparoscopic surgery removed part of the right ovary including the ruptured cyst, and identified several intraperitoneal adhesions. According to the revised American Society of Reproductive Medicine classification, it was graded 42 points (focal score: ovary 20; adhesion score: 16, tube 8) and stage IV. The pathological study after laparoscopic surgery revealed endometriotic cyst of the right ovary. The patient is presently doing well with a course of low-dose oral contraceptive medication. Although ovarian endometriotic cysts are frequently encountered in adults, it should be noted that these lesions also occasionally occur in adolescents.