Pericardial effusion, right-sided pleural effusion and ascites associated with stage IV endometriosis. A case report.

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AI-generated summary by claude@2026-06, 2026-06-09

This case report describes a reproductive-aged woman with stage IV endometriosis presenting with pericardial effusion, right-sided pleural effusion, and ascites, which resolved after surgical treatment.

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Abstract

BACKGROUND: Endometriosis has rarely been associated with ascites and less often with pleural (usually right-sided) effusion. CASE: A multiparous, reproductive-aged woman was referred for evaluation of possible ovarian carcinoma following the development of dyspnea, progressive abdominal distention, weight loss and increasing secondary dysmenorrhea. Imaging demonstrated normal ovaries in the presence of massive ascites and right-sided pleural and pericardial effusions. At laparotomy, grade IV endometriosis was noted. Total abdominal hysterectomy, bilateral salpingo-oophorectomy and appendectomy were performed, with subsequent resolution of all cavity fluid accumulations. CONCLUSION: Pericardial and pleural effusions in the presence of ascites may be associated with endometriosis.

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Condition tags

mesh:D004715endometriosisdysmenorrhea

MeSH descriptors

Ascites Endometriosis Pericardial Effusion Pleural Effusion Adult Appendectomy Ascites Endometriosis Endometriosis Female Functional Laterality Humans Hysterectomy Ovariectomy Pericardial Effusion Pleural Effusion Severity of Illness Index

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.

Cited by (17)

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europepmc
last seen: 2026-06-04T01:30:01.192114+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:12:50.257867+00:00
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