{"paper_id":"7ab8c249-9d77-402d-846b-edad5a3ae6b3","body_text":"Ascites and Ileus due to Endometriosis\nA Conservative Management Approach\n- Tania Day\n- Kim Hui\n- Shelley Perkins\n- Pierre Pelletier\nBackground:\nEndometriosis rarely presents with ascites and prolonged ileus. This may be managed conservatively with hormonal suppression, bowel rest, and total parenteral nutrition in women desiring future fertility.\nCase:\nWe describe a case of a young woman with several years of dysmenorrhea, infertility, and cyclic abdominal pain and bloating, with 3 prior laparoscopies for acute abdominal pain and hemorrhagic ascites, who presented to the emergency room (ER) with ileus and ascites. She underwent laparoscopy which demonstrated endometriosis coating her intestinal surfaces, was treated with leuprolide acetate, and then required a 44 day admission for bowel rest and total parenteral nutrition.\nConclusions:\nEndometriosis may present with ileus and ascites. Conservative management, including hormonal suppression and extended hospitalization, may be considered in young women who desire future fertility potential. Laparoscopy may be performed for histologic confirmation of the diagnosis and exclusion of malignancy.","source_license":"CC0","license_restricted":false}