Endometriosis and Ascites: A Strategy to Achieve Pregnancy

Setúbal, António; Sidiropoulou, Zacharoula; Soares, Sérgio Reis; Barbosa, Cristiana

doi:10.1016/j.jmig.2015.05.013

Cited by 4 publications

(13 citation statements)

References 9 publications

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“…15,22,24,36 All three symptoms were present in two studies. 22,24 However, in 15 articles (describing 17 patients), the presence or absence of dysmenorrhea was not mentioned at all. [5][6][7]12,14,19,21,25,26,28,29,[33][34][35]37 A total of 33 studies (with 38 patients) were regarding the presence or absence of dyspareunia, 3,[5][6][7][8][11][12][13][14][16][17][18][19][20][21][25][26][27][28][29][30][31][32][33][34][35][37][38][39]…”

Section: Eligibility Identificationmentioning

confidence: 90%

“…12,13,[15][16][17][18][19][20][21][22] One patient described herself as "African;" another patient, as "caucasian;" a third one, as "Hispanic;" and another one, as "negro." [23][24][25][26] Seven studies did not describe ethnicity, but reported that the patients were Nigerian (n ¼ 3), Malay (n ¼ 2), Brazilian (n ¼ 1) or Japanese (n ¼ 1). 3,6,8,[27][28][29][30] Ethnicity or origin was not described at all for the remaining 16 patients.…”

Section: Patient Characteristics and Clinical Presentationmentioning

confidence: 99%

“…After the initial treatment, due to the desire to achieve pregnancy, one woman underwent in vitro fertilization (IVF), with minimal ascites afterwards. 24 Another patient started clomiphene, with ascites recurrence. 23 A summary of the treatments used for ascites and its respective outcomes, including the time until recurrence, is shown in ►Table 2.…”

Section: Treatments Used and Outcomesmentioning

confidence: 99%

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Ascites and Encapsulating Peritonitis in Endometriosis: a Systematic Review with a Case Report

Magalhães

Augusto

Mota

et al. 2018

Rev Bras Ginecol Obstet

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Endometriosis can have several different presentations, including overt ascites and peritonitis; increased awareness can improve diagnostic accuracy and patient outcomes. We aim to provide a systematic review and report a case of endometriosis with this unusual clinical presentation. The PubMed/MEDLINE database was systematically reviewed until October 2016. Women with histologically-proven endometriosis presenting with clinically significant ascites and/or frozen abdomen and/or encapsulating peritonitis were included; those with potentially confounding conditions were excluded. Our search yielded 37 articles describing 42 women, all of reproductive age. Ascites was mostly hemorrhagic, recurrent and not predicted by cancer antigen 125 (CA-125) levels. In turn, dysmenorrhea, dyspareunia and infertility were not consistently reported. The treatment choices and outcomes were different across the studies, and are described in detail. Endometriosis should be a differential diagnosis of massive hemorrhagic ascites in women of reproductive age.

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Section: Eligibility Identificationmentioning

confidence: 90%

Section: Patient Characteristics and Clinical Presentationmentioning

confidence: 99%

Section: Treatments Used and Outcomesmentioning

confidence: 99%

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Ascites and Encapsulating Peritonitis in Endometriosis: a Systematic Review with a Case Report

Magalhães

Augusto

Mota

et al. 2018

Rev Bras Ginecol Obstet

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“…Six of them underwent both laparoscopic and laparotomic evaluation. Pregnancy outcomes were available for two patients who achieved a single and twin pregnancy [30,40]. Both of them conceived with the use of in vitro fertilization (IVF) techniques and delivered preterm through cesarean section at 32 and 35 weeks of gestation, respectively.…”

Section: Main Outcomesmentioning

confidence: 99%

Clinicopathological Characteristics and Outcomes of Patients With Endometriosis-Related Hemorrhagic Ascites: An Updated Systematic Review of the Literature

Pandraklakis¹,

Prodromidou²,

Haidopoulos³

et al. 2022

Cureus

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The presence of ascites is a common clinical presentation in gynecologic oncology patients. Hemorrhagic ascites (HA) due to endometriosis is a rare presentation that can be easily misdiagnosed as ovarian malignancies. The present study aims to update the currently available knowledge on the characteristics of patients presenting with HA due to endometriosis.A systematic search was conducted for articles published from January 2000 to July 2020 using the Medline, Scopus, and Google Scholar databases along with the references of the full-text articles retrieved. Papers describing cases of women over 18 years with or without previous history of endometriosis were assessed. Only cases with histologically proven hemorrhagic ascites of endometriosis origin were included.Twenty-nine studies (27 case reports and two case series) comprising 32 patients were evaluated. The mean patients' age was 32 years, while six of the patients had a previous history of endometriosis. The mean amount of drained ascitic fluid was 4,200 mL, whereas three patients underwent thoracentesis due to pleural effusions. The treatment options included not only medical but also surgical therapies. Fertility preservation was achieved in 27 patients, while two of them achieved pregnancy with in vitro fertilization (IVF) techniques.Endometriosis-related hemorrhagic ascites is a relatively rare expression of the disease. Endometriosisrelated hemorrhagic ascites should be considered in the differential diagnosis (DD) of women with ascites and clinical suspicion of endometriosis. The available literature is limited to case reports and case series and thus indicates further research in the field to decode the pathophysiology of the disease and decide on the optimal treatment.

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“…4 There are several reported cases of endometriotic ascites with endometriosis-like implants on the liver surface and adjacent peritoneum, However, in all these cases liver function was normal. 10,11 In some cases, this phenomenon of massive ascites is related to patches of a specific kind of endometriotic lesions also referred to as "mossy endometriosis." 12…”

Section: Pathophysiologymentioning

confidence: 99%

Peritoneal endometriosis presenting as fever of unknown origin, ascites and peritoneal miliary spread: A rare case report and review of the literature

Maslenko

De-Porto

Stanleigh

et al. 2022

Journal of Endometriosis and Pelvic Pain Disorders

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Endometriosis associated with ascites is a rare form of endometriosis. We identified only 81 publications describing women with this pathology. The purpose of this review was to search the existing literature and to understand the clinical presentations and possible treatment options. A 28-year-old patient was admitted due to a fever of unknown origin and lower abdominal pain. Her CT scan was normal with some non-specific lymph-node enlargement up to 1.6 cm and the presence of ascites. Diagnostic laparoscopy revealed a large amount of hemorrhagic ascites. The entire peritoneal surface was covered with milliary nodules. The pathology report revealed peritoneal stromal endometriosis. Endometriosis is an important differential diagnosis in women with ascites and treatment of this form of endometriosis is a real dilemma.

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Endometriosis and Ascites: A Strategy to Achieve Pregnancy

Cited by 4 publications

References 9 publications

Ascites and Encapsulating Peritonitis in Endometriosis: a Systematic Review with a Case Report

Ascites and Encapsulating Peritonitis in Endometriosis: a Systematic Review with a Case Report

Clinicopathological Characteristics and Outcomes of Patients With Endometriosis-Related Hemorrhagic Ascites: An Updated Systematic Review of the Literature

Peritoneal endometriosis presenting as fever of unknown origin, ascites and peritoneal miliary spread: A rare case report and review of the literature

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