Ascites and Ileus due to Endometriosis

Tania Day, Kim Hui, Shelley Perkins, Pierre Pelletier
In: Journal of Pelvic Medicine and Surgery · 2009 · vol. 15(6) , pp. 471–475 · doi:10.1097/spv.0b013e3181c6e90b · W2315737326
article OA: closed CC0 ⤵ 2 in-corpus citations
Full text JSON View on OpenAlex View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-09 ⓘ

Endometriosis presenting as ascites and prolonged ileus was managed conservatively with hormonal suppression, bowel rest, and total parenteral nutrition in a young woman desiring future fertility.

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

⚙ AI-generated deep summary by qwen3.7-flash, 2026-08-21 · read from full text ⓘ

This case report describes a young woman with a history of dysmenorrhea and infertility who presented to the emergency room with prolonged ileus and ascites. Diagnostic laparoscopy confirmed that endometriosis was coating her intestinal surfaces, leading to a treatment plan involving leuprolide acetate, bowel rest, and total parenteral nutrition over a 44-day admission. The authors conclude that while rare, this presentation can be managed conservatively in patients desiring future fertility, with surgery reserved for histologic confirmation or malignancy exclusion. This paper is centrally about endometriosis — specifically describing an atypical presentation involving ascites and ileus caused by deep infiltrating lesions on the intestinal surfaces.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

In Brief Background: Endometriosis rarely presents with ascites and prolonged ileus. This may be managed conservatively with hormonal suppression, bowel rest, and total parenteral nutrition in women desiring future fertility. Case: We describe a case of a young woman with several years of dysmenorrhea, infertility, and cyclic abdominal pain and bloating, with 3 prior laparoscopies for acute abdominal pain and hemorrhagic ascites, who presented to the emergency room (ER) with ileus and ascites. She underwent laparoscopy which demonstrated endometriosis coating her intestinal surfaces, was treated with leuprolide acetate, and then required a 44 day admission for bowel rest and total parenteral nutrition. Conclusions: Endometriosis may present with ileus and ascites. Conservative management, including hormonal suppression and extended hospitalization, may be considered in young women who desire future fertility potential. Laparoscopy may be performed for histologic confirmation of the diagnosis and exclusion of malignancy. We present the case of a young nulligravida who presented to the emergency room with ascites and ileus due to endometriosis. She underwent laparoscopy to obtain histologic confirmation of the diagnosis, was treated with leuprolide, and then required a 44 day admission for prolonged ileus.
Full text 1,159 characters · extracted from oa-doi-fallback · 2 sections · click to expand

Background

Endometriosis rarely presents with ascites and prolonged ileus. This may be managed conservatively with hormonal suppression, bowel rest, and total parenteral nutrition in women desiring future fertility. Case: We describe a case of a young woman with several years of dysmenorrhea, infertility, and cyclic abdominal pain and bloating, with 3 prior laparoscopies for acute abdominal pain and hemorrhagic ascites, who presented to the emergency room (ER) with ileus and ascites. She underwent laparoscopy which demonstrated endometriosis coating her intestinal surfaces, was treated with leuprolide acetate, and then required a 44 day admission for bowel rest and total parenteral nutrition.

Conclusions

Endometriosis may present with ileus and ascites. Conservative management, including hormonal suppression and extended hospitalization, may be considered in young women who desire future fertility potential. Laparoscopy may be performed for histologic confirmation of the diagnosis and exclusion of malignancy.

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

endometriosisdysmenorrheainfertility

Citation neighborhood

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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (22)

Cited by (2)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
unpaywall
last seen: 2026-09-01T06:29:04.589233+00:00
License: CC0 · commercial use OK