Acute Abdomen Due to Ruptured Endometriomas-Case series from a Tertiary Care Centre

Background: Ruptured endometriotic cysts are a rare but significant cause of acute abdominal pain in women of reproductive age. Prompt recognition and management are crucial to prevent complications and preserve fertility. Case Series: This report presents a series of three cases of ruptured endometriotic cysts in women aged between 25 and 35 years, each presenting with acute abdominal pain. Clinical evaluation, imaging, and surgical exploration confirmed the diagnosis. All patients underwent laparoscopic intervention, which revealed hemoperitoneum and ruptured ovarian endometriomas. Histopathological examination confirmed endometriosis. Postoperative recovery was uneventful in all cases, and patients were managed with hormonal therapy to prevent recurrence. Conclusion: Ruptured endometriotic cyst should be considered in the differential diagnosis of acute abdomen in women of reproductive age, especially those with a history of dysmenorrhea or endometriosis. Laparoscopy remains a valuable diagnostic and therapeutic tool in such cases.