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...

Full description

Bibliographic Details
Main Authors: Vincent Athas, Karen Burtt, John Berne, Jose Lozada
Format: Article
Language:English
Published: Elsevier 2022-02-01
Series:Trauma Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352644021001837
_version_ 1828136643463217152
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