|Wright and Laufer, 2010 ||18||
On US and CT: huge pelvic mass of 35 cm in diameter, with solid and cystic components, ascites present.|
On surgery: large right and left ovarian masses with adhesions to the omentum, pelvic sidewalls, fallopian tubes, and uterus, the combined contents were ~ 8 L of chocolate-brown fluid.
No symptoms, regular menses, no dysmenorrhea, mild hydroureter and hydronephrosis, CA125 = 379.0 U/mL,|
LDH = 245.0 IU/L.
|Laparotomy, enucleation of the cyst in one ovary, drainage of that in the other.|
|Gogacz et al., 2012 ||11||
On US, a well encapsulated tumor (capsule approximately 3 mm thick) with homogeneous content, located behind the uterus.|
On surgery, a left ovarian cyst located in the Douglas pouch, containing chocolate-brown fluid, with numerous adhesions to the peritoneum and intestine.
|Premenarcheal vomiting, severe hypogastric pain.||Laparotomy, enucleation of the cyst.|
|Lee et al., 2013 ||Mean age = 19.2 ± 1 ys (n = 35)||Bilateral cysts in 49% of cases, located in the right or left ovary in 20 and 31%, respectively. Cul-de-sac obliteration in 57%.||Pain in 77% of cases, incidental in 23% of cases||Laparoscopy, enucleation of the cysts.|
|Lee et al., 2017 ||Mean age = 19.1 ± 1.2 ys (n = 105)||Mean cyst size 75 ± 29 mm, bilateral in 21% of cases, located in the right or left ovary in 42.9 and 36.2%, respectively. Complete or partial cul-de-sac obliteration in 14.3 and 32.4%, respectively.||Dysmenorrhea in 40.5% of cases, pelvic pain in 18.8%, gastrointestinal symptoms in 6%, mass effect in 18.8%, incidental detection of endometrioma in 9.4%.||Laparoscopy, enucleation of the cysts.|