Ascites due to Endometriosis

Spitzer, Mark; Benjamin, Fred

doi:10.1097/00006254-199508000-00024

Cited by 26 publications

(19 citation statements)

References 8 publications

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“…All the above findings are more suggestive of malignant ovarian disease than endometriosis especially if CA125 is also elevated as was found in some of these cases [8].…”

Section: Discussionmentioning

confidence: 50%

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Unusual presentation of endometriosis with massive ascites and recurrent pleural effusion: a case report and review of the literature

Mwenechanya

Beck

2006

Gynecol Surg

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A 31-year-old nulliparous woman presented to the respiratory physicians with a 3-month history of abdominal distension, weight loss, increasing shortness of breath and change in bowel habit. On examination she was frail and thin with signs of massive right-sided pleural effusion and ascites. This was confirmed on ultrasound scan and computed tomography (CT) scan which also revealed a simple left adnexal cyst. Tumour markers were negative. As the pleural effusion recurred after drainage, a laparotomy was done to exclude ovarian malignancy and this revealed grade 3 to 4 endometriosis. She declined medical or surgical management of her endometriosis despite recurring pleural effusions.

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“…All the above findings are more suggestive of malignant ovarian disease than endometriosis especially if CA125 is also elevated as was found in some of these cases [8].…”

Section: Discussionmentioning

confidence: 50%

“…The ascites is usually an exudate [2] with reactive mesothelial cells found on cytology giving rise to the theory that blood from ruptured endometriotic cysts causes peritoneal irritation leading to the exudative ascites [8,3,[9][10][11][12][13].…”

Section: Discussionmentioning

confidence: 99%

Unusual presentation of endometriosis with massive ascites and recurrent pleural effusion: a case report and review of the literature

Mwenechanya

Beck

2006

Gynecol Surg

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“…Endometriosis with massive ascites causing abdominal distension and other symptoms simulating malignancy has been described in the literature (2)(3)(4)(5). Here we report a case of this unusually severe form of endometriosis that presented with a rapidly growing intraabdominal mass, ascites, pleural effusion, and elevated serum Ca-125 and Ca-19-9.…”

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confidence: 77%

Endometriosis mimicking advanced ovarian cancer

Goumenou

Matalliotakis

Mahutte³

et al. 2006

Fertility and Sterility

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“…Tubal occlusion has been found to be rare in patients with endometriosis [3]. This may mean that other mechanisms are involved in the infertility experienced in patients with endometriosis [23].…”

Section: Discussionmentioning

confidence: 99%

Endometriosis Seen at Diagnostic Laparoscopy for Women with Infertility

Eleje¹

2015

J Gynecol Res Obstet

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Objective: To determine the prevalence and laparoscopic features of endometriosis in women investigated for infertility using laparoscopy and dye test.Methods: This was a retrospective survey at Life Institute for Endoscopy, Limited, Nnewi, Nigeria between January 2006 and December 2008. Data was collected with a pre-designed proforma which included the socio-demographic characteristics and laparoscopic findings in various abdomino-pelvic organs. The data was analyzed using SPSS software version 16 (SPSS for windows, Version 16.0 Chicago: SPSS Inc.). Results:During the study period, 24 cases of endometriosis were diagnosed out of the 490 infertile women seen. This gave the prevalence rate of 4.9 %. The mean age of the women was 30.3±4.1 years. Majority (58.3%) of the patients were of social class I. Sixteen (66.6%) patients presented with primary infertility, while 8 (33.3%) had secondary infertility and were all primiparous.Chocolate cysts were bilateral in 9 (37.5%) patients and unilateral in 6 (25.0%). Thirteen (54.2%) patients had bilateral tubal adhesions, while 5 (20.8%) had unilateral adhesions. Thirteen (54.2%) patients had bilateral patent tubes while 4 (33.3%) and 2 (16.7%) patients had unilateral and bilateral tubal blockade respectively on dye test. Seventeen (65.4%) patients had adhesions at the cul-de-sac while eight (33.3%) patients had involvement of bowel to adhesion. Conclusion:Endometriosis is an important common gynaecological problem among infertile women seen at laparoscopy. Majority of infertile women with endometriosis had chocolate cysts, culde-sac adhesion and bilateral patent tubes at laparoscopy and dye test.because these women have more resources to seek medical attention [5].The diagnosis of endometriosis is often strongly suspected from a patient's initial history. Infertility, dysmenorrhoea and dyspareunia are the main presenting complaints [10,11]. It is the most common cause of pelvic pain [5]. However, making a diagnosis on the basis of history alone is difficult as the presentation is so variable and other conditions may mimic the disease [12]. Laparoscopy is the gold standard for diagnostic purposes unless the disease is visible in the vagina or elsewhere [1,6]. However, non-invasive diagnostic methods such as transvaginal ultrasound and magnetic resonant imaging may also be complementary [3].The disease can involve several sites in the body. The most common site of the disease is the ovary in approximately 50% of cases [3]. This is followed by the uterine cul-de-sac, posterior broad ligament, uterosacral ligaments, uterus, fallopian tubes, sigmoid colon, appendix, and round ligaments [3]. Implants may occur over the bowel, bladder, and ureters 3 . When endometriosis is present on the ovary, cysts may enlarge and are called 'endometriomas' or 'chocolate cysts' [3].In the South-east Nigeria, until now, there have been uncertainties in making diagnosis of endometriosis. However, the innovation of laparoscopy in this region of the country has made a difference. This Intr...

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Ascites due to Endometriosis

Cited by 26 publications

References 8 publications

Unusual presentation of endometriosis with massive ascites and recurrent pleural effusion: a case report and review of the literature

Unusual presentation of endometriosis with massive ascites and recurrent pleural effusion: a case report and review of the literature

Endometriosis mimicking advanced ovarian cancer

Endometriosis Seen at Diagnostic Laparoscopy for Women with Infertility

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