Recurrent Hemorrhagic Ascites
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This case report highlights endometriosis as an uncommon cause of recurrent hemorrhagic ascites in a young woman, resolved by hysterectomy and bilateral salpingo-oophorectomy.
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Abstract
In Brief BACKGROUND: Endometriosis is rarely a cause of recurrent hemorrhagic ascites. This report draws attention to this uncommon condition, which could present a diagnostic dilemma. CASE: A young African-American woman who had experienced recurrent hemorrhagic ascites for more than 2 years underwent laparotomy and was found to have extensive pelvic endometriosis. After a hysterectomy and bilateral salpingo-oophorectomy, her ascites resolved. CONCLUSION: Endometriosis should be considered in the differential diagnosis of recurrent hemorrhagic ascites in premenopausal women. The diagnosis always requires operative assessment and histologic confirmation. A diagnosis of endometriosis should always be considered in premenopausal women who present with hemorrhagic ascites.
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References (9)
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- Endométriose et ascite hémorragique massive récidivante via openalex
- Endometriosis. Current issues in diagnosis and medical management. via openalex
- Endometriosis mimicking advanced ovarian cancer via openalex
- Hemorrhagic ascites associated with endometriosis. A case report. via openalex
- Massive ascites due to endometriosis via openalex
- W1997859526 via openalex
- W6601731700 via openalex
Cited by (12)
- Peritoneal endometriosis presenting as fever of unknown origin, ascites and peritoneal miliary spread: A rare case report and review of the literature 2022
- Clinicopathological Characteristics and Outcomes of Patients With Endometriosis-Related Hemorrhagic Ascites: An Updated Systematic Review of the Literature 2022
- Clinical Presentation and Management of Endometriosis-Related Hemorrhagic Ascites: A Case Report and Systematic Review of the Literature 2021
- Endometriosis presenting with recurrent massive hemorrhagic ascites and diagnosed by core needle biopsy 2019
- Benign endometriosis masquerading as intra-abdominal malignancy: One of the most extreme cases reported and a review of the literature 2018
- Ascites and Encapsulating Peritonitis in Endometriosis: a Systematic Review with a Case Report 2018
- A Rare Presentation of Endometriosis with Massive Haemorrhagic Ascites: A Case Report 2017
- A Rare Presentation of Endometriosis 2012
- Endometriosis presenting with hemorrhagic ascites, severe anemia, and shock 2012
- A systematic review: endometriosis presenting with ascites 2010
- Differential Diagnosis of Gynecologic Organ-Related Diseases in Women Presenting with Ascites 2008
- Pathophysiology of Cyclic Hemorrhagic Ascites and Endometriosis 2008
Source provenance
- europepmc
- last seen: 2026-06-04T01:30:01.192114+00:00
- openalex
- last seen: 2026-06-04T00:00:01.174412+00:00
- pubmed
- last seen: 2026-05-13T22:14:54.534439+00:00
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