Haemorrhagic ascites: An atypical presentation of endometriosis

Suruchi Desai, S. L. Oswal, Rashmi Parikh
In: Journal of Clinical and Scientific Research · 2024 · vol. 13(2) , pp. 144–146 · doi:10.4103/jcsr.jcsr_216_22 · W4399700513
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This case report describes a rare instance of haemorrhagic ascites in a 26-year-old woman, which was ultimately diagnosed as ovarian endometriosis and treated successfully with oral dienogest.

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Abstract

Abstract Haemorrhagic ascites is primarily associated with perforated abdominal viscera, malignancies and tuberculosis or hepatic pathologies. However, its presentation due to ovarian endometriosis is a rare finding. We report the rare occurrence of haemorrhagic ascites due to ovarian endometriosis in a 26-year-old multiparous female presentingwith severe abdominal pain. The other probable causes of ascites were excluded and computed tomography of abdomen and pelvis revealed moderate ascites with bulky left ovarian cyst. Abdominal paracentesis revealed haemorrhagic ascitic fluid which on cytopathology did not reveal evidence of malignancy. Diagnostic work-up including magnetic resonance imaging and diagnostic laparoscopy confirmed the diagnosis. She was treated with oral dienogest which caused regression of the mass and pain. This case highlights that endometriosis may be included in the differential diagnosis while treating haemorrhagic ascites in women in reproductive age.

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Condition tags

endometriosis

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.

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last seen: 2026-06-10T17:14:06.276822+00:00
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