Endometriosis with a pleural effusion and ascites. Report of a case treated with nafarelin acetate
Case report
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This case report describes a 21-year-old woman with endometriosis, pleural effusion, and ascites, who experienced significant improvement following treatment with nafarelin acetate.
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Abstract
BACKGROUND: Although endometriosis is generally confined to the pelvis, it may occur at remote sites with unusual manifestations. Rare examples include pulmonary endometriosis and endometriosis associated with ascites. These complications represent diagnostic and therapeutic dilemmas, especially when both occur concurrently in the same patient.
CASE: A 21-year-old nulligravida had a history of endometriosis and complained of severe dyspnea and weight loss. Pleural effusion and pelvic ascites associated with recurrent endometriosis were found. The patient was treated with thoracentesis and nafarelin acetate nasal spray. A remarkable improvement in her condition occurred, and the side effects of the spray were minimal during treatment.
CONCLUSION: Gonadotropin-releasing hormone agonist therapy is recommended as the initial treatment for endometriotic ascites and/or pleural effusion.
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Cited by (10)
- Pleural effusion secondary to endometriosis: A systematic review 2023
- A systematic review: endometriosis presenting with ascites 2010
- Massive ascites as a presentation in a young woman with endometriosis: a case report 2008
- Pathophysiology of cyclic hemorrhagic ascites and endometriosis 2008
- Unusual presentation of endometriosis with massive ascites and recurrent pleural effusion: a case report and review of the literature 2006
- Endometriosis extrapélvica: reporte de tres casos y revisión narrativa de la literatura 2005
- [Endometriosis with massive hemorrhagic ascites: a case report and review of the literature] 2005
- Extraperitoneal endometriosis with catamenial pneumothoraces: a review of the literature 2004
- ACOG practice bulletin. Medical management of endometriosis. Number 11, December 1999 (replaces Technical Bulletin Number 184, September 1993). Clinical management guidelines for obstetrician-gynecologists 2000
- Extrapelvic endometriosis 1997
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- europepmc
- last seen: 2026-10-29T06:15:59.360273+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-10-08T21:58:49.153990+00:00
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