Endometriosis: a rare and interesting cause of recurrent haemorrhagic ascites

J.C. Bignall, Jenine Bignall, Kirana Arambage, Sotirios Vimplis
BMJ case reports · 2014 · vol. 2014 , pp. bcr2013010052 · doi:10.1136/bcr-2013-010052 · PMID:25355738 · PMC4216895 · W2003819423
article OA: bronze CC0 ⤵ 11 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-10 ⓘ

This case report details a 36-year-old woman with recurrent hemorrhagic ascites caused by endometriosis, which was managed with GnRH analogues and ultimately resolved during pregnancy.

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Abstract

Recurrent haemorrhagic ascites as a cause of endometriosis is rare. We report the case of a 36-year-old woman presenting acutely with abdominal distension, ascites and an elevated CA-125 raising the suspicion of ovarian malignancy. Tissue biopsies retrieved during laparoscopy confirmed the diagnosis of endometriosis associated with haemorrhagic ascites. Gonadotropin-releasing hormone (GnRH) analogues were started to manage symptoms, with good effect. Subsequently, in vitro fertilisation resulted in a successful singleton pregnancy and by the second trimester, there was full resolution in symptoms. During the early puerperal period, the development of massive ascites recurred, requiring symptomatic relief through repeated ascitic drainage and GnRH analogues. Long-term follow-up is planned with the hope of continuing with medical management at least until the patient's family is complete when the surgical option of bilateral salpingo-oophorectomy with or without hysterectomy will be discussed.

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Condition tags

endometriosis

MeSH descriptors

Ascites Endometriosis Hemorrhage Pregnancy Complications Adult Ascites Endometriosis Endometriosis Female Gonadotropin-Releasing Hormone Gonadotropin-Releasing Hormone Hemorrhage Humans Ovary Ovary Pelvis Pelvis Pregnancy Recurrence

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.

References (14)

Cited by (11)

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