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A Large Endometrioma in a Patient With Turner Syndrome: A Case Report and Review of the Literature

Marushin, Robin MD; Judson, Patricia L. MD; Downs, Levi S. Jr MD; Argenta, Peter A. MD

Female Pelvic Medicine & Reconstructive Surgery: September-October 2006 - Volume 12 - Issue 5 - p 281-284
doi: 10.1097/01.spv.0000236020.75043.47
Case Reports

Background: Endometriosis is a common disease of unclear etiology found in women of reproductive age. Symptoms of endometriosis usually resolve in the absence of normal ovarian function but have been reported to recur in the presence of hormone replacement.

Case: We report a case of endometriosis in a patient with Turner syndrome who presented with abdominal pain and a pelvic mass. She underwent exploratory laparotomy, total abdominal hysterectomy, and excision of her ovary. The pelvic mass was consistent with cystic endometriosis. Her postoperative course was complicated by the diagnosis of aberrantly left-sided superior vena cava and moderate lupus anticoagulant.

Conclusion: The incidence of endometriomas in patients with Turner syndrome on hormone replacement therapy is unknown but should be considered in the differential diagnosis of pelvic pain in these patients.

The rare finding of endometriosis in a patient with Turner syndrome on hormone replacement therapy is discussed in this case study.

From the University of Minnesota, Department of Gynecologic Oncology, Minneapolis, Minnesota.

Reprints: Peter A. Argenta, MD, 420 Delaware St. SE, Minneapolis, MN 55455. E-mail:

© 2006 Lippincott Williams & Wilkins, Inc.