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 (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

Cited by (17)

Source provenance

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License: CC0 · commercial use OK