Delayed traumatic rupture of ovarian endometrioma on re-exploration after blunt abdominal trauma
Traumatic rupture of an ovarian endometrioma is extremely rare injury. We describe a case of a 63-year-old female presenting after a motor vehicle crash (MVC) with complex abdominal injuries requiring exploratory laparotomy that was complicated by delayed presentation of an ovarian endometrioma rupt...
Main Authors: | , , , |
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Format: | Article |
Language: | English |
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Elsevier
2022-02-01
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Series: | Trauma Case Reports |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644021001837 |
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author | Vincent Athas Karen Burtt John Berne Jose Lozada |
author_facet | Vincent Athas Karen Burtt John Berne Jose Lozada |
author_sort | Vincent Athas |
collection | DOAJ |
description | Traumatic rupture of an ovarian endometrioma is extremely rare injury. We describe a case of a 63-year-old female presenting after a motor vehicle crash (MVC) with complex abdominal injuries requiring exploratory laparotomy that was complicated by delayed presentation of an ovarian endometrioma rupture on second look laparotomy. During the repeat exploration of the abdomen, multiple regions of small bowel and the pelvic floor were noted to be covered with a brown-colored material which was concerning for fecal matter from a missed enterotomy. The patient was kept open for an additional 24 h providing time for occult injuries to reveal themselves and for proper mechanical preparation of the rectum to perform rigid sigmoidoscopy, essential to definitively rule out a missed injury in this rare situation. |
first_indexed | 2024-04-11T18:07:33Z |
format | Article |
id | doaj.art-6925821e81db4ceb9797ade25c615043 |
institution | Directory Open Access Journal |
issn | 2352-6440 |
language | English |
last_indexed | 2024-04-11T18:07:33Z |
publishDate | 2022-02-01 |
publisher | Elsevier |
record_format | Article |
series | Trauma Case Reports |
spelling | doaj.art-6925821e81db4ceb9797ade25c6150432022-12-22T04:10:17ZengElsevierTrauma Case Reports2352-64402022-02-0137100578Delayed traumatic rupture of ovarian endometrioma on re-exploration after blunt abdominal traumaVincent Athas0Karen Burtt1John Berne2Jose Lozada3Corresponding author.; Department of Surgery, Broward General Medical Center, 1600 S Andrews Ave, Fort Lauderdale, FL 33316, United States of AmericaDepartment of Surgery, Broward General Medical Center, 1600 S Andrews Ave, Fort Lauderdale, FL 33316, United States of AmericaDepartment of Surgery, Broward General Medical Center, 1600 S Andrews Ave, Fort Lauderdale, FL 33316, United States of AmericaDepartment of Surgery, Broward General Medical Center, 1600 S Andrews Ave, Fort Lauderdale, FL 33316, United States of AmericaTraumatic rupture of an ovarian endometrioma is extremely rare injury. We describe a case of a 63-year-old female presenting after a motor vehicle crash (MVC) with complex abdominal injuries requiring exploratory laparotomy that was complicated by delayed presentation of an ovarian endometrioma rupture on second look laparotomy. During the repeat exploration of the abdomen, multiple regions of small bowel and the pelvic floor were noted to be covered with a brown-colored material which was concerning for fecal matter from a missed enterotomy. The patient was kept open for an additional 24 h providing time for occult injuries to reveal themselves and for proper mechanical preparation of the rectum to perform rigid sigmoidoscopy, essential to definitively rule out a missed injury in this rare situation.http://www.sciencedirect.com/science/article/pii/S2352644021001837Open abdomenBlunt abdominal traumaOvarian ruptureDamage control surgery |
spellingShingle | Vincent Athas Karen Burtt John Berne Jose Lozada Delayed traumatic rupture of ovarian endometrioma on re-exploration after blunt abdominal trauma Trauma Case Reports Open abdomen Blunt abdominal trauma Ovarian rupture Damage control surgery |
title | Delayed traumatic rupture of ovarian endometrioma on re-exploration after blunt abdominal trauma |
title_full | Delayed traumatic rupture of ovarian endometrioma on re-exploration after blunt abdominal trauma |
title_fullStr | Delayed traumatic rupture of ovarian endometrioma on re-exploration after blunt abdominal trauma |
title_full_unstemmed | Delayed traumatic rupture of ovarian endometrioma on re-exploration after blunt abdominal trauma |
title_short | Delayed traumatic rupture of ovarian endometrioma on re-exploration after blunt abdominal trauma |
title_sort | delayed traumatic rupture of ovarian endometrioma on re exploration after blunt abdominal trauma |
topic | Open abdomen Blunt abdominal trauma Ovarian rupture Damage control surgery |
url | http://www.sciencedirect.com/science/article/pii/S2352644021001837 |
work_keys_str_mv | AT vincentathas delayedtraumaticruptureofovarianendometriomaonreexplorationafterbluntabdominaltrauma AT karenburtt delayedtraumaticruptureofovarianendometriomaonreexplorationafterbluntabdominaltrauma AT johnberne delayedtraumaticruptureofovarianendometriomaonreexplorationafterbluntabdominaltrauma AT joselozada delayedtraumaticruptureofovarianendometriomaonreexplorationafterbluntabdominaltrauma |