Endomtriosis (Ovarian Cyst) - Laparoscopy

Symptoms

A 36 year old woman presented with severe dysmenorrhoea. She had been trying to fall pregnant for 12 months.

Diagnosis

A pelvic ultrasound revealed a 5cm right ovarian cyst – suggestive of endometriosis.

Outcome

She subsequently underwent a laparoscopy and conceived spontaneously 6 months later.

Right ovarian endometrioma is very adherent to right pelvic side wall

Close up of right ovarian endometrioma

The right ovary is mobilized and the endometrioma is stripped out

The left ovary is adherent to the left side wall. This is mobilized and underlying endometriosis is excised. This involves dissection in the Pouch of Douglas – near the rectum.

The pelvis at the end of the procedure. Both ovaries are now mobile and all endometriosis has been excised