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A 26- year- old nulliparous woman underwent a laparoscopy to remove a 10- cm endometrial cyst on the left ovary (type II Nezhat). The cyst was extracted from the 10- mm umbilical incision; the other 2 trocars were inserted through 5- mm incisions. One year later, in correspondence to the previous 5- mm incision site, a hernia occurred that contained omentum and was reduced easily with a local anesthetic. After 2 years of good health, an aching nodule occurred on the same trocar site; vaginal ultrasound examination showed another left ovarian cyst. A second laparoscopy was performed; the cyst was very adherent and was removed in fragments. The wall nodule was removed, and the histologic examination classified it as endometriosis.
A 26-year-old nulliparous woman underwent a laparoscopy to remove a 10- cm endometrial cyst on the left ovary (type II Nezhat). The cyst was extracted from the 10- mm umbilical incision; the other 2 trocars were inserted through 5- mm incisions. One year later, in correspondence to the previous 5- mm incision site, a hernia occurred that contained omentum and was reduced easily with a local anesthetic. After 2 years of good health, an aching nodule occurred on the same trocar site; a second laparoscopy was performed; the cyst was very adherent and was removed in fragments. The wall nodule was removed, and the histologic check classified it as endometriosis.