A young woman with abdominal distension

Richard Appleby, Haseeb Saroya, Aymer Postgate, Ziad Meer
BMJ case reports · 2014 · vol. 2014 , pp. bcr2014203726 · doi:10.1136/bcr-2014-203726 · PMID:24717582 · PMC3987615 · W2316786433
article OA: closed CC0 ⤵ 5 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This case report describes a 34-year-old woman with an extrinsic rectal mass and hemorrhagic ascites due to intestinal endometriosis, successfully managed with a gonadotropin antagonist.

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Abstract

We present the case of a 34-year-old woman with haemorrhagic ascites and an extrinsic rectal mass on endoscopy. Endometrioma was subsequently confirmed by laparoscopy and biopsy. Intestinal endometriosis is common, and often mimics other gastrointestinal pathology. Haemorrhagic ascites or intestinal masses are rare presentations of endometriosis, and this is the only reported case of both occurring together. Endometriosis and ascites are more common in women of African descent, and although histological diagnosis requires laparoscopy, MRI has a high negative predictive value; 95% for intestinal endometriosis. Re-accumulation of ascites were prevented by starting a gonadotrophin antagonist.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Abdomen Endometriosis Rectal Neoplasms Abdomen Adult Ascites Ascites Ascites Endometriosis Female Humans Laparoscopy Rectal Neoplasms

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 (5)

Cited by (5)

Source provenance

europepmc
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License: CC0 · commercial use OK