Massive ascites due to endometriosis

James S. Bernstein, Victor Perlow, J. Brenner
In: The American Journal of Digestive Diseases · 1961 · vol. 6(1) , pp. 1–6 · doi:10.1007/bf02239240 · W2036247593
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This case report details massive ascites in a patient due to endometriosis and discusses differential diagnosis and potential mechanisms for fluid production.

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This paper presents a case of massive ascites attributed to endometriosis, in which approximately 5.5 liters of abdominal fluid were removed. The authors report that this manifestation of endometriosis had not, to their knowledge, been previously reported and discuss the case’s clinical significance with emphasis on differential diagnosis, along with considerations of possible mechanisms of fluid production. A stated limitation is that the report is a single-case description, so findings are focused on interpretation rather than establishing a generalizable mechanism. This paper is centrally about endometriosis — it specifically reports massive ascites due to endometriosis and frames its differential diagnostic relevance.

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Summary and conclusions 1. Presented is a case of massive ascites due to endometriosis in which about 5 1/2 L. of abdominal fluid were removed. 2. This manifestation of endometriosis has not, to our knowledge, been reported previously. 3. The clinical significance of the case is discussed with particular emphasis on differential diagnosis. 4. The problem of the possible mechanisms of fluid production is discussed. 5. In cases of ascites of obscure origin in women, the possibility of endometriosis should be considered. Similar content being viewed by others References Te Linde, R. W. Operative Gynecology (ed. 2), Lippincott, Philadelphia, 1953. Novak, E., andNovak, E. R. Textbook of Gynecology (ed. 4), Williams & Wilkins, Baltimore, 1952. Herbut, P. A. Gynecological & Obstetrical Pathology, Lea and Febiger, Philadelphia, 1953. Mfigs, J. V. Endometriosis.Ann. Surg. 127:795, 1948. Boles, R. S., andHodes, P. J. Endometriosis of the small and large intestine.Gastroenterology 34:367, 1958. Bockus, H. L. Gastro-enterology (Vol. II), Saunders, Philadelphia, 1946, Chap. LXVIII. Hayden, G. B. A study of 569 cases of endometriosis.Am. J. Obst. & Gyner. 43:704, 1942. Colcock, B. P., andLamphier, T. A. Endometriosis.Ann. Surg. 131:507, 1950. Hawthorne, H. R., Kimbrough, R. A., andDavis, H. C. Concomitant endometriosis and carcinoma of the rectosigmoid.Am. J. Obst. & Gynec. 62:681, 1951. Masson, J. C., andCariker, M. Endometriosis and its serious complications.Proc. Interstate Postgrad. M. A., North America, 1943, pp. 209–215. Counseller, V. S., andSinder, F. S., Jr. Endometriosis.Rocky Mountain M. J. 42:189, 1945. Irons, W. E., Judd, E. L., andDockerty, M. B. Endometrioma of the cecum: report of case.Proc. Staff Meet. Mayo Clinic 22:530, 1947. Roberts, H. J. Difficult Diagnosis. Saunders, Philadelphia, 1958. Matonsek, W. C. Manual of Differential Diagnosis.Yr. Bk. Pub., Chicago, 1959. Author information Authors and Affiliations Additional information The authors are indebted to Dr. Arnold Freed, who performed the radiological examinations. Rights and permissions About this article Cite this article Bernstein, J.S., Perlow, V. & Brenner, J.J. Massive ascites due to endometriosis. Digest Dis Sci 6, 1–6 (1961). https://doi.org/10.1007/BF02239240 Issue date: DOI: https://doi.org/10.1007/BF02239240

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endometriosis

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