Endométriose avec ascite et épanchement pleural : à propos d'un cas
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This case report details a rare instance of endometriosis presenting with both ascites and pleural effusion in a patient.
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Abstract
Massive ascites associated with pelvic endometriosis is an uncommon combination. Pleural effusion may rarely occur. Fourteen cases are reported in the literature. We report the case of a black nulligravida woman followed for a primary infertility. Endometriosis was suspected in presence of increasing dysmenorrhea, cystic adnexal masse, umbilical nodes and ascites. The diagnosis was confirmed at exploratory laparoscopy. The patient had been followed for assisted procreation for six years and had undergone a conservative laparoscopic surgery never described. After several ascites recurrences, the pathology was resolved by Gonadotropin-releasing hormone agonist therapy. But a right pleural effusion with ascites occurred following a bad therapeutic observance. This complication reveals an early pregnancy never reported for this exceptional pathology. A conservative management allowed this unique case of well outcoming pregnancy. The possible pathogenesis of ascites and pleural effusion are explored and recommendations for diagnosis and treatment options are discussed.
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Cited by (10)
- Pleural effusion secondary to endometriosis: A systematic review 2023
- Peritoneal endometriosis presenting as fever of unknown origin, ascites and peritoneal miliary spread: A rare case report and review of the literature 2022
- Clinical Presentation and Management of Endometriosis-Related Hemorrhagic Ascites: A Case Report and Systematic Review of the Literature 2021
- Ascites and Encapsulating Peritonitis in Endometriosis: a Systematic Review with a Case Report 2018
- Endometriosis Revealed by Recurrent Hemorrhagic Ascites 2017
- Endometriosis Presenting with Massive Ascites and Pleural Effusion: A Case Report 2013
- A systematic review: endometriosis presenting with ascites 2010
- Pathophysiology of Cyclic Hemorrhagic Ascites and Endometriosis 2008
- Recurrent Hemorrhagic Ascites 2007
- Unusual presentation of endometriosis with massive ascites and recurrent pleural effusion: a case report and review of the literature 2006
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