Acute upsurge of tumour markers in ruptured ovarian endometrioma: a false alarm for malignancy: a case report

CA 125, in gynaecological practice, is seen to be elevated in both benign and malignant conditions. Higher values, usually raise the suspicion of malignancy. Here we report a case of a 21-year-old nulliparous female, with extremely high evels of CA 125, suspected malignancy, but laparoscopy revealed a ruptured ovarian endometrioma, which was confirmed by histopathology. We discuss the pathogenesis of the same, evaluation and approach to management of ruptured endometriotic cysts.