August 21st, 2018

Next
A full text version of this article is available.
To access article obtain online access here or login
 
Title:
An Uncommon Presentation of Endometriosis: A Case Report
Authors:  Zeynep Soyman, M.D., Besim H. Bacanakgil, M.D., Serdar Kaya, M.D., and Mushviga Hasanova, M.D.
 
BACKGROUND: Endometriosis, an estrogen-dependent inflammatory disease, is defined by the growth of endometrial tissue outside of the uterine cavity. Hemorrhagic ascites due to endometriosis is an exceedingly uncommon diagnosis.

CASE: A 31-year-old nulligravid woman presented with abdominal pain, ovarian mass, and ascites. Surgical findings and histopathology were consistent with a diagnosis of stage 4 endometriosis. The patient was discharged to home with 6 months of GnRH analogue therapy.

CONCLUSION: Endometriosis may be a cause of ascites and mass formation in the pelvis. Laparoscopy or laparotomy and biopsy are necessary for an accurate diagnosis. GnRH analogue therapy can be given to prevent the accumulation of ascites after surgery. Endometriosis must be kept in mind for the differential diagnosis of cases presenting with hemorrhagic ascites.
Keywords:  ascites, endometriosis, GnRH analogue, malignancy, ovarian mass
   
   
  Acrobat Reader 7.0 is recommended to properly view and print the article.
Reader can be downloaded from