Endometriosis: a rare and interesting cause of recurrent haemorrhagic ascites

Jenine Bignall, Bignall J, J.C. Bignall, Arambage K, Kirana Arambage, Sotirios Vimplis, Vimplis S
BMJ case reports · 2014 · vol. 2014 , pp. bcr2013010052 · doi:10.1136/bcr-2013-010052 · PMID:25355738 · PMC4216895 · W2003819423
Case report OA: bronze CC0 ⤵ 11 in-corpus citations
📄 Open PDF View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 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.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

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.

My notes (saved in your browser only)

Condition tags

endometriosis

MeSH descriptors

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

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (14)

Cited by (12)

Source provenance

europepmc
last seen: 2026-10-13T06:10:10.580696+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-10-08T21:14:34.357477+00:00
License: CC0 · commercial use OK