Successful Treatment of Endometriosis-Related Hemorrhagic Ascites: A Report of Three Cases.
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This report details three cases of endometriosis-related ascites, highlighting the challenges of diagnosis and treatment, which involved laparoscopic surgery, medical therapy, and long-term follow-up.
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Abstract
Endometriosis-related ascites is rare and is frequently confused with an ovarian malignancy. Since it affects women in reproductive age, its diagnosis and therapy are even more challenging. These patients usually present with abdominal distension, pelvic pain, and weight loss, but a careful questioning usually reveals the typical endometriosis symptoms-such as dysmenorrhea and dyspareunia. We present three cases of endometriosis-related ascites, one of them with pleural effusion. All cases were associated with extensive disease and required laborious laparoscopic surgery, medical therapy with gonadotropin releasing hormone analogs, and long-term follow-up. One of the patients delivered twins following an in vitro fertilization (IVF) cycle without recurrence of ascites. We aim to raise awareness toward the importance of considering endometriosis in a patient with ascites of unknown origin.
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Cited by (4)
- Pleural effusion secondary to endometriosis: A systematic review 2023
- Clinical Presentation and Management of Endometriosis-Related Hemorrhagic Ascites: A Case Report and Systematic Review of the Literature 2021
- Clinicopathological Characteristics and Outcomes of Patients With Endometriosis-Related Hemorrhagic Ascites: An Updated Systematic Review of the Literature 2022
- Belly full of blood: a rare presentation of endometriosis 2019
Cited by (4)
- Pleural effusion secondary to endometriosis: A systematic review 2023
- Clinicopathological Characteristics and Outcomes of Patients With Endometriosis-Related Hemorrhagic Ascites: An Updated Systematic Review of the Literature 2022
- Clinical Presentation and Management of Endometriosis-Related Hemorrhagic Ascites: A Case Report and Systematic Review of the Literature 2021
- Belly full of blood: a rare presentation of endometriosis 2019
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