Massive Ascites, Clinical Symptom in Woman with Endometriosis: A Case Report

Kopelman, Alexander; Schor, Eduardo; Girão, M. J. B. C.; Jibrim, Rodrigo Lopes Meime; Holzhacker, Suzane; Sato, Hélio

doi:10.1016/j.jmig.2009.08.411

Cited by 1 publication

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In cases of pelvic endometriosis, symptoms often include chronic pelvic pain, dysmenorrhoea, deep dyspareunia and subfertility. Recurrent haemorrhagic ascites secondary to endometriosis is a very rare complication of the condition2 3 and is often initially mistaken for ovarian/primary peritoneal malignancy. The first case of endometriosis-related ascites was described by Brews et al in 1954,4 and since then a further 63 cases have been reported worldwide with a predominantly higher occurrence in nulliparous women of African descent 5.…”

Section: Discussionmentioning

confidence: 99%

Endometriosis: a rare and interesting cause of recurrent haemorrhagic ascites

2014

View full text Add to dashboard Cite

Recurrent haemorrhagic ascites as a cause of endometriosis is rare. We report the case of a 36-year-old woman presenting acutely with abdominal distension, ascites and an elevated CA-125 raising the suspicion of ovarian malignancy. Tissue biopsies retrieved during laparoscopy confirmed the diagnosis of endometriosis associated with haemorrhagic ascites. Gonadotropin-releasing hormone (GnRH) analogues were started to manage symptoms, with good effect. Subsequently, in vitro fertilisation resulted in a successful singleton pregnancy and by the second trimester, there was full resolution in symptoms. During the early puerperal period, the development of massive ascites recurred, requiring symptomatic relief through repeated ascitic drainage and GnRH analogues. Long-term follow-up is planned with the hope of continuing with medical management at least until the patient's family is complete when the surgical option of bilateral salpingo-oophorectomy with or without hysterectomy will be discussed.

show abstract

Section: Discussionmentioning

confidence: 99%