Endometriosis presenting as pleural effusion and haemoperitoneum: case report and a review of the literature

Joseph Ifeanyichukwu Ikechebelu, Daniel Nnaemeka Onwusulu, P U Ele
In: Tropical Journal of Obstetrics and Gynaecology · 2006 · vol. 23(1) · doi:10.4314/tjog.v23i1.14572 · W1966417331
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⚙ AI-generated summary by qwen3.7-flash, 2026-09-06 ⓘ

This case report describes a 40-year-old woman with endometriosis presenting as haemorrhagic pleural effusion and ascites, who was ultimately diagnosed with both endometriosis and adenomyosis following surgical intervention.

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⚙ AI-generated deep summary by qwen3.7-flash, 2026-09-06 · read from full text ⓘ

The provided text contains only copyright and licensing information for the Tropical Journal of Obstetrics and Gynaecology, rather than the actual content of the research paper titled "Endometriosis presenting as pleural effusion and haemoperitoneum." Consequently, it is impossible to summarize the study's population, methods, findings, or limitations based on the input provided. The text does not discuss any medical data or clinical observations related to endometriosis or adenomyosis. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

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Abstract

A case of endometriosis presenting as haemorrhagic pleural effusion and ascites in a 40 year old multiparous woman is described. Her main clinical features were left groin swelling 12 years prior to this presentation which was confirmed at histology (after excision) to be endometriosis; secondary infertility, peri-umbilical nodule with cyclic pain especially during the menstrual flow; secondary dysmenorrhoea, dyspareunia, irregular menses, inter-menstrual bleeding, dyspnoea and abdominal swelling. Investigations revealed pleural effusion on chest X-ray and a complex pelvic-abdominal mass with ascites on ultrasonography. She was managed with danazol, thoracotomy and, eventually, laparotomy. Subtotal hysterectomy with bilateral salpingoophorectomy was performed and histological examination of the tissues confirmed endometriosis and adenomyosis. Keywords: endometriosis, pleural effusion, ascites Tropical Journal of Obstetrics and Gynaecology Vol. 23(1) 2006: 77-79
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The entire contents of the Tropical Journal of Obstetrics and Gynaecology are protected under Indian and international copyrights. The Journal, however, grants to all users a free, irrevocable, worldwide, perpetual right of access to, and a license to copy, use, distribute, perform and display the work publicly and to make and distribute derivative works in any digital medium for any reasonable non-commercial purpose, subject to proper attribution of authorship and ownership of the rights. The journal also grants the right to make small numbers of printed copies for their personal non-commercial use. This journal content is distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

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endometriosisadenomyosisdysmenorrheadyspareuniainfertility

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