Document Type

Article

Department

Obstetrics and Gynaecology (East Africa)

Abstract

Background: There is no case in literature reporting an adolescent with endometriosis with major depressive disorder manifesting as chronic laparoscopic wounds. Major depressive disorder in patients with endometriosis is a common occurrence, but self-directed violence is rare.

Case presentation: We present the case of an adolescent female with chronic pelvic pain and who was treated with medical management that proved ineffective. She then underwent laparoscopic excision of endometriosis. Post-surgery she continued to experience oozing of a brown colored discharge from the primary umbilical port site, and it became a chronic non-healing wound with associated pelvic pain. Four months later she underwent re-exploration of the umbilical wound and laparoscopy. Subsequently, she had multiple and frequent hospital visits including ward admissions. The laparoscopic wounds remained as flesh wounds for 11 months despite multidisciplinary treatment, including care from a plastic surgeon. Patient was seen by a psychiatrist and diagnosed with major depressive disorder was made. She was started on antidepressants, and subsequently, the wounds healed.

Conclusion: This case report discussed a young adolescent female who underwent surgical treatment for endometriosis but presented with a cryptic manifestation of major depressive disorder- chronic post laparoscopic wounds. This case illustrates the need for early recognition of non-reproductive complications of endometriosis and timely multidisciplinary involvement.

Publication (Name of Journal)

AJOG Global Reports

DOI

https://doi.org/10.1016/j.xagr.2025.100484

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

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