Hemorrhagic ascites associated with endometriosis. A case report.

C C Dias, Cláudia Camila Dias, J M Andrade, Jurandyr Moreira de Andrade, Rui Alberto Ferriani, R A Ferriani, Márcia G. Villanova, M G Villanova, Rafael Meirelles, R S Meirelles
The Journal of reproductive medicine · 2000 · vol. 45(8) , pp. 688–90 · PMID:10986691 · W42950269
article OA: closed CC0 ⤵ 17 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This case report describes a 41-year-old woman with endometriosis-associated bloody ascites treated successfully with a GnRH analog, highlighting this condition as a rare complication of endometriosis.

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Abstract

BACKGROUND: Endometriosis associated with massive, bloody ascites is an unusual occurrence. This report draws attention to this condition as a complication of endometriosis, with the description of a case and a review of 31 others. CASE: A 41-year-old, black nulligravida with massive, bloody ascites and a pelvic mass underwent laparotomy, and an intraoperative microscopic examination ruled out malignancy. The histologic report was compatible with endometriosis. The patient was treated with a GnRH analog, with progressive reduction of ascitic fluid and full remission after six months. CONCLUSION: Bloody ascites should be considered a complication of endometriosis, especially in nulliparous women of childbearing age with abdominal distention, a pelvic mass, dysmenorrhea, abdominal pain, weight loss and eventual pleural effusion, suggesting a diagnosis of ovarian malignancy.

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Condition tags

mesh:D004715endometriosisdysmenorrhea

MeSH descriptors

Ascites Endometriosis Hemorrhage Peritoneal Diseases Adult Ascites Ascites Diagnosis, Differential Endometriosis Endometriosis Female Gonadotropin-Releasing Hormone Gonadotropin-Releasing Hormone Hemorrhage Hemorrhage Humans Peritoneal Diseases Peritoneal Diseases

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

Cited by (17)

Source provenance

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License: CC0 · commercial use OK