Endometrioma presented as acute abdomen in a peritoneal dialysis patient: A case report and literature review

• Published in: International Journal of Women's Health
• Main Author: Ahmad Z.A.; Ramly F.; Mohd Zahid A.Z.; Abdullah B.; Abdul Hafidz M.I.
• Format: Article
• Language: English
• Published: Dove Medical Press Ltd 2021
• Online Access: https://www.scopus.com/inward/record.uri?eid=2-s2.0-85109407747&doi=10.2147%2fIJWH.S304818&partnerID=40&md5=24c3b1f717c826d6b5ab01722f5746fa

Laparoscopic management in patients on peritoneal dialysis offers good post-operative outcome and early resumption to peritoneal dialysis. This is a report of a 43-year-old woman with end-stage kidney disease on peritoneal dialysis presented with left iliac fossa pain due to a large endometrioma. Emergency diagnostic laparoscopy was performed with careful laparoscopic entry, Tenckhoff catheter care and anti-adhesive application. The patient underwent temporary hemodialysis for two weeks before full resumption to peritoneal dialysis. She was planned for GnRH analogue for three months post-operatively. In conclusion, laparoscopy is a safe and advantageous route of surgery for ovarian endome-trioma in patients on peritoneal dialysis. However, mindful surgical strategies are needed to ensure the Tenckhoff catheter’s longevity and early resumption to peritoneal dialysis post-operatively. © 2021 Ahmad et al.