Acute abdominal pain from ovarian endometriosis
Zhengyun Chen, Tao Shen, Yongqing Zhang, Yuanyuan Zhou, Xiaoyong Li, Jiabin Lin
Table 1. Comparison of manifestations between the progressive group and the stable group
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