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Laparoscopic ‘day case’ management of an ‘endometrioma’ within the broad ligament

thelium (Buyukbayrak et al. 2008). CA19–9 is a tumour marker for pancreatic, gastric, colonic and mucinous ovarian carcinoma. Benign conditions are also associated with elevated CA19–9. Pathophysiological mechanisms include inflammation or proliferation of non-cancerous tissue, obstruction of CA19–9 discharge pathways and malfunction in organs that metabolise CA19–9 (Ito and Gejyo 1999). The first two of them may explain elevated CA19–9 serum levels in case of imperforate hymen. Recently, the assumption that imperforate hymen might be included in the benign conditions causing elevated serum CA125 and CA19–9 levels was put forth (Buyukbayrak et al. 2008). Although more cases are needed, our case may reinforce this tentative statement for the present.