A healthy young woman with massive hemorrhagic ascites

Fumiaki Kishino; Kishino F; Ryota Inokuchi; Yohei Komaru; Takaya N; Nobuhiro Takaya; Yamamoto M; Miyuki Yamamoto; Susumu Nakajima; Nakajima S; Yahagi N; Naoki Yahagi

doi:10.1016/j.ajem.2015.04.039

A healthy young woman with massive hemorrhagic ascites

Fumiaki Kishino, Kishino F, Ryota Inokuchi, Yohei Komaru, Takaya N, Nobuhiro Takaya, Yamamoto M, Miyuki Yamamoto, Susumu Nakajima, Nakajima S, Yahagi N, Naoki Yahagi

The American journal of emergency medicine · 2015 · vol. 33(12) , pp. 1841.e1–1841.e2 · doi:10.1016/j.ajem.2015.04.039 · PMID:26008584 · W2028942852

article OA: closed CC0 ⤵ 1 in-corpus citation

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This case report describes a healthy young woman who presented with massive hemorrhagic ascites, detailing her clinical presentation, diagnostic workup, and management.

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Abstract

Retrograde menstruation is the backward movement of menstrual fluids. The underlying mechanisms remain unknown. The converse current itself is benign, but the result can be abdominal pain caused by peritoneal irritation and, eventually, endometriosis. The case was of a 25-year-old woman with lower abdominal pain accompanied by significant hemoperitoneum. Physical examination and inspection using abdominal ultrasonography and computed tomography failed to reveal a differential diagnosis. Detailed history taking revealed sexual activities during her menstrual period, which allowed for a diagnosis of retrograde menstruation. These findings emphasize the importance of extensive history taking.

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MeSH descriptors

Abdominal Pain Abdominal Pain Hemoperitoneum Hemoperitoneum Menstruation Disturbances Menstruation Disturbances Abdominal Pain Adult Diagnosis, Differential Female Hemoperitoneum Humans Medical History Taking Menstruation Disturbances Tomography, X-Ray Computed Ultrasonography

Citation neighborhood (sparse)

Too few in-corpus citations on either side for a chart; here are the lists.

Cites (3)

Cited by (1)

Clinicopathological Characteristics and Outcomes of Patients With Endometriosis-Related Hemorrhagic Ascites: An Updated Systematic Review of the Literature 2022

References (9)

Cyclic changes of peritoneal fluid parameters in normal and infertile patients. via openalex
Retrograde menstruation in healthy women and in patients with endometriosis. via openalex
The role of the peritoneum in the pathogenesis of endometriosis via openalex
W2122362467 via openalex
W2147672516 via openalex
W6606484086 via openalex
W6628680024 via openalex
W2080201314 via openalex
W2084847700 via openalex

Cited by (1)

Clinicopathological Characteristics and Outcomes of Patients With Endometriosis-Related Hemorrhagic Ascites: An Updated Systematic Review of the Literature 2022

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[1] Retrograde menstruation in healthy women and in patients with endometriosis. 1984

[2] The role of the peritoneum in the pathogenesis of endometriosis 2013

[3] Cyclic changes of peritoneal fluid parameters in normal and infertile patients. 1987