Case report: Ultrasound-guided aspiration and ethanol sclerotherapy: a treatment option for ovarian endometriomas
Main Article Content
Abstract
To evaluate the preliminary results of ultrasound-guided aspiration and ethanol sclerotherapy for the treatment of ovarian
endometrioma.
Case presentation: A 38-year-old female patient presented with chronic abdominal pain and was diagnosed with an ovarian
endometrioma cyst without suspected malignancy. She underwent ultrasound-guided aspiration and ethanol sclerotherapy.
Results: One month post-treatment, the patient showed significant improvement in both clinical symptoms and imaging findings.
Conclusion: Ultrasound-guided aspiration and ethanol sclerotherapy represent a viable treatment option for ovarian
endometriomas, particularly in patients at high surgical risk or those who prefer non-surgical approaches.
Keywords
ovarian endometrioma, ultrasound-guided aspiration, ethanol sclerotherapy
Article Details
References
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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6973214/
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https://www.medultrason.ro/medultrason/index.php/medultrason/article/view/2331/1586
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19. Okagaki R, Osuga Y, Momoeda M, Tsutsumi O, Taketani Y. Laparoscopic findings after ultrasound-guided transvaginal ethanol sclerotherapy for ovarian endometrial cyst. Hum Reprod. 1999 Jan;14(1):270. doi: 10.1093/ humrep/14.1.270. PMID: 10374135
Reprod. Biol., vol. 105, no. 1, p. 39, Oct. 2002, doi: 10.1016/s0301-2115(02)00144-6.
2. “Ethanol sclerotherapy of ovarian endometrioma: a safe and effective minimal invasive procedure. Preliminary results - PubMed.” Accessed: Feb. 26, 2023. [Online]. Available: https://pubmed.ncbi.nlm.nih.gov/25739052/
3. I. F. Devick, B. S. Leise, P. M. McCue, S. Rao, and D. A. Hendrickson, “Ovarian histopathology, pre- and postoperative endocrinological analysis and behavior alterations in 27 mares undergoing bilateral standing laparoscopic ovariectomy,” Can. Vet. J., vol. 61, no. 2, pp. 181–186, Feb. 2020, Accessed: Feb. 26, 2023. [Online]. Available:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6973214/
4. B. Cm et al., “ESHRE guideline: endometriosis,” Hum. Reprod. Open, vol. 2022, no. 2, Feb. 2022, doi: 10.1093/hropen/hoac009.
5. F. Raffi, M. Metwally, and S. Amer, “The Impact of Excision of Ovarian Endometrioma on Ovarian Reserve: A Systematic Review and Meta-Analysis,” J. Clin. Endocrinol. Metab., vol. 97, no. 9, pp. 3146–3154, Sep. 2012, doi: 10.1210/jc.2012-1558.
6. A. Ikuta et al., “Management of transvaginal ultrasound-guided absolute ethanol sclerotherapy for ovarian endometriotic cysts,” J. Med. Ultrason. 2001, vol. 33, no. 2, pp. 99–103, Jun. 2006, doi: 10.1007/s10396-005- 0079-2.
7. J. Noma and N. Yoshida, “Efficacy of ethanol sclerotherapy for ovarian endometriomas,” Int. J. Gynecol. Obstet., vol. 72, no. 1, pp. 35–39, Jan. 2001, doi: 10.1016/S0020-7292(00)00307-6.
8. “Sclerotherapy with 5% tetracycline is a simple alternative to potentially complex surgical treatment of ovarian endometriomas before in vitro fertilization - ScienceDirect.” Accessed:Feb.26,2023.Online].Available
9. C. Giorlandino, C. Taramanni, L. Muzii, E. Santillo, C. Nanni, and A. Vizzone, “Ultrasound-guided aspiration of ovarian endometriotic cysts,” Int. J. Gynecol. Obstet., vol. 43, no. 1, pp. 41–44, Oct. 1993, doi: 10.1016/0020- 7292(93)90272-X.
10. “Ultrasound pattern and diagnostic accuracy of primary ovarian endometrioma and its recurrence: a pictorial essay | Sasaran | Medical Ultrasonography.” Accessed: Feb. 26, 2023. [Online]. Available:
https://www.medultrason.ro/medultrason/index.php/medultrason/article/view/2331/1586
11. D. Timmerman et al., “Terms, definitions and measurements to describe the sonographic features of adnexal tumors: a consensus opinion from the International Ovarian Tumor Analysis (IOTA) Group,” Ultrasound Obstet. Gynecol. Off. J. Int. Soc. Ultrasound Obstet. Gynecol., vol. 16, no. 5, pp. 500–505, Oct. 2000, doi: 10.1046/j.1469- 0705.2000.00287.x.
12. “ Percutaneous Aspiration and Alcohol Sclerotherapy for Sympto... : Annals of Surgery.” Accessed: Feb. 26, 2023. [Online]. Available: https://journals.lww.com/annalsofsurgery/Abstract/1989/08000/Percutaneous_Aspiration_
and_Alcohol_Sclerotherapy.12.aspx
13. B. Kars, E. E. Buyukbayrak, A. Y. K. Karsidag, M. Pirimoglu, O. Unal, and C. Turan, “Comparison of success rates of ‘transvaginal aspiration and tetracycline sclerotherapy’ versus ‘only aspiration’ in the management of non-neoplastic ovarian cysts,” J. Obstet. Gynaecol. Res., vol. 38, no. 1, pp. 65–69, 2012, doi: 10.1111/j.1447- 0756.2011.01627.x.
14. V. Kukura, I. Krivak-Bolanca, K. Sentija, and S. Katalenić-Simon, “Alcohol sclerosing ovarian cystic lesions, 20 years experience,” Coll. Antropol., vol. 34, no. 1, pp. 37–40, Mar. 2010.
15. S. Y. Lee, M.-L. Kim, S. J. Seong, J. W. Bae, and Y. J. Cho, “Recurrence of Ovarian Endometrioma in Adolescents after Conservative, Laparoscopic Cyst Enucleation,” J. Pediatr. Adolesc. Gynecol., vol. 30, no. 2, pp. 228–233, Apr. 2017, doi: 10.1016/j.jpag.2015.11.001.
16. A. Aflatoonian, E. Rahmani, and M. Rahsepar, “Assessing the efficacy of aspiration and ethanol injection in recurrent endometrioma before IVF cycle: A randomized clinical trial,” Iran. J. Reprod. Med., vol. 11, no. 3, pp. 179–184, Mar. 2013.
17. V. Kukura, T. Canić, Z. Duić, M. Podgajski, and I. Drinković, “[Transvaginal sclerosing therapy of cystic ovarian lesions with alcohol],” Ultraschall Med. Stuttg. Ger. 1980, vol. 25, no. 5, pp. 363–366, Sep. 2004, doi: 10.1055/s- 2004-812956.
18. G. H. Kim, P. H. Kim, J. H. Shin, I. C. Nam, H. H. Chu, and H.-K. Ko, “Ultrasound-guided sclerotherapy for the treatment of ovarian endometrioma: an updated systematic review and meta-analysis,” Eur. Radiol., vol. 32, no. 3, pp. 1726–1737, Mar. 2022, doi: 10.1007/s00330-021-08270-5.
19. Okagaki R, Osuga Y, Momoeda M, Tsutsumi O, Taketani Y. Laparoscopic findings after ultrasound-guided transvaginal ethanol sclerotherapy for ovarian endometrial cyst. Hum Reprod. 1999 Jan;14(1):270. doi: 10.1093/ humrep/14.1.270. PMID: 10374135