Acute abdominal pain from ovarian endometriosis

doi:10.5847/wjem.j.1920-8642.2024.080

World Journal of Emergency Medicine ›› 2024, Vol. 15 ›› Issue (5): 407-409.doi: 10.5847/wjem.j.1920-8642.2024.080

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Acute abdominal pain from ovarian endometriosis

Zhengyun Chen¹^,²^,³(), Tao Shen¹, Yongqing Zhang¹, Yuanyuan Zhou¹, Xiaoyong Li¹, Jiabin Lin¹

¹Department of Gynecology, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou 310006, China
²Zhejiang Provincial Key Laboratory of Precision Diagnosis and Therapy for Major Gynecological Diseases, Women’sHospital, School of Medicine, Zhejiang University, Hangzhou 310006, China
³Zhejiang Key Laboratory of Maternal and Infant Health, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou 310006, China

Received:2024-04-06 Online:2024-09-09 Published:2024-09-01
Contact: Zhengyun Chen, Email: chenzy1290@zju.edu.cn

Abstract

Zhengyun Chen, Tao Shen, Yongqing Zhang, Yuanyuan Zhou, Xiaoyong Li, Jiabin Lin. Acute abdominal pain from ovarian endometriosis[J]. World Journal of Emergency Medicine, 2024, 15(5): 407-409.

Figures/Tables 2

Figure 1.

Table 1.

References 10

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7	Leonardi M, Uzuner C, Mestdagh W, Lu C, Guerriero S, Zajicek M, et al. Diagnostic accuracy of transvaginal ultrasound for detection of endometriosis using International Deep Endometriosis Analysis (IDEA) approach: prospective international pilot study. Ultrasound Obstet Gynecol. 2022 ;60(3): 404-13.
8	Franco PN, García-Baizán A, Aymerich M, Maino C, Frade-Santos S, Ippolito D, et al. Gynaecological causes of acute pelvic pain: common and not-so-common imaging findings. Life (Basel). 2023 ;13(10): 2025.
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Variables	Progressive group (n=69)	Stable group (n=55)	P-value
Age, years, mean±SD	33.7±7.7	33.4±8.2	0.86
BMI, kg/m², mean±SD	21.6±3.1	21.8±2.9	0.70
Gravidity, mean (IQR)	1 (0-1.5)	1 (1-2)	0.11
Parity, mean (IQR)	0 (0-1)	1 (0-1)	0.13
The accuracy of the first diagnosis of endometriosis at admission, n (%)	30 (43.5)	33 (60.0)	0.07
A history of sudden lower abdominal pain within one year, n (%)	11 (15.9)	15 (27.3)	0.12
A history of dysmenorrhea requiring painkillers, n (%)	39 (56.5)	40 (72.7)	0.06
Severe abdominal pain at the onset requiring painkillers, n (%)	37 (53.6)	15 (27.3)	<0.01
Progressive lower abdominal pains, n (%)	14 (20.3)	12 (21.8)	0.84
Fever, n (%)	41 (59.4)	13 (23.6)	<0.01
Gastrointestinal symptoms, n (%)	17 (24.6)	7 (12.7)	0.10
Free fluid accumulation within the pouch of Douglas, n (%)	21 (30.3)	1 (1.8)	<0.01
OMA diagnosed by ultrasound at admission, n (%)	37 (53.6)	29 (52.7)	0.92
Maximum diameter of adnexal mass under ultrasound, cm, mean±SD	6.5±1.7	7.4±2.1	0.01
Leukocytosis, n (%)	35 (50.7)	16 (29.1)	0.02
Complete obliteration of pouch of Douglas, n (%)	22 (40.0)	36 (52.2)	0.18
Surgical interventions within 24 h, n (%)	30 (43.5)	13 (23.6)	0.02
Surgical complications (Clavien-Dindo grading III-IV), n (%)	2 (2.9)	3 (5.5)	0.80

Acute abdominal pain from ovarian endometriosis

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