Student Presenter(s): Matthew Sison, Yakubmiyer Musheyev, Benjamin Ilyaev
Faculty Mentor: Maria Levada
Department: Clinical Sciences
School/College: College of Osteopathic Medicine, Long Island

Endometriosis should be considered when a female patient reports symptoms of pain/ tenderness in the pelvic area, a frequent need for urination, bloating, vomiting, or nausea. Clinical suspicion is increased if the patient has a history of endometriosis. However, many patients with endometriosis can be asymptomatic which is why physicians need to keep an open mind and have a broad differential when examining female patients. Exams that aid in the diagnosis of endometriosis include, but are not limited to a pelvic exam, an ultrasound, magnetic resonance imaging (MRI), and an exploratory laparoscopy. In this case study, we present a 57-year-old post-menopausal female patient that presented to her OBGYN with hot flashes and abnormal ultrasound revealing an ovarian cyst. Seventeen years prior to the complaints, the patient was found to have endometriosis and endometrial polyps. This warranted a left oophorectomy at the time. Due to the patient’s history, symptoms, and current scans, it was assumed that the present cyst was a complication of endometriosis. Ultimately, the cyst, the right ovarian cyst wall, right fallopian tube, and uterine fibroids were surgically removed and sent to pathology. Upon further review of the patient’s pathology reports, it was found that the cyst removed was a borderline malignant seromucinous cyst.