A Rare Presentation of Endometriosis with Massive Haemorrhagic Ascites: A Case Report

Neha Varun, Renu Tanwar
In: Gynecology & Obstetrics Case report · 2017 · vol. 03(01) · doi:10.21767/2471-8165.1000047 · W2620036887
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This case report describes a 25-year-old nulliparous woman presenting with massive hemorrhagic ascites and an adnexal mass, found to be endometriosis, which resolved with GnRH analogue treatment.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-13 · read from full text ⓘ

This paper is a case report describing a 25-year-old nulligravida presenting with massive hemorrhagic ascites and a right adnexal mass on CT, a presentation noted as exceedingly uncommon and often associated with malignancy, hepatoma, tuberculosis, or perforated viscous. Laparotomy revealed about three liters of hemoperitoneum with no malignancy evident on ovarian examination, and histology of the abdominal peritoneum was compatible with endometriosis. Postoperatively, the patient received a GnRH analogue and showed progressive reduction of ascitic fluid during follow-up, with the main limitation being that findings are from a single case. This paper is centrally about endometriosis — it focuses on massive hemorrhagic ascites as a rare complication of endometriosis.

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Abstract

Background: Endometriosis associated with massive haemorrhagic ascites is an exceedingly uncommon finding. In most of the cases, the presence of massive hemorrhagic ascites is associated with malignancies, hepatoma, tuberculosis or perforated viscous. This case report draws attention to this condition of massive hemorrhagic ascites as a complication of endometriosis. Case: A 25-year-old, nulligravida with massive haemorrhagic ascites and right adnexal mass in CT scan underwent laparotomy, and peroperatively three liters of hemoperitoneum was found with no signs of malignancy on examination of ovary. The histological report of abdominal peritoneum was compatible with an endometriosis. The patient was treated with a GnRH analogue in postoperative period with progressive reduction of ascitic fluid. Patient is on follow up. Conclusion: Haemorrhagic ascites should be considered as a complication of endometriosis, especially in nulliparous women of childbearing age group with abdominal distention, dysmenorrhea, abdominal pain and haemorrhagic ascites, suggesting a diagnosis of ovarian malignancy.
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Neha Varun and Renu Tanwar DOI10.21767/2471-8165.1000047 Background: Endometriosis associated with massive haemorrhagic ascites is an exceedingly uncommon finding. In most of the cases, the presence of massive hemorrhagic ascites is associated with malignancies, hepatoma, tuberculosis or perforated viscous. This case report draws attention to this condition of massive hemorrhagic ascites as a complication of endometriosis. Case: A 25-year-old, nulligravida with massive haemorrhagic ascites and right adnexal mass in CT scan underwent laparotomy, and peroperatively three liters of hemoperitoneum was found with no signs of malignancy on examination of ovary. The histological report of abdominal peritoneum was compatible with an endometriosis. The patient was treated with a GnRH analogue in postoperative period with progressive reduction of ascitic fluid. Patient is on follow up. Conclusion: Haemorrhagic ascites should be considered as a complication of endometriosis, especially in nulliparous women of childbearing age group with abdominal distention, dysmenorrhea, abdominal pain and haemorrhagic ascites, suggesting a diagnosis of ovarian malignancy. Select your language of interest to view the total content in your interested language - Aquaculture & Veterinary Science - Chemistry & Chemical Sciences - Clinical Sciences - Engineering - General Science - Genetics & Molecular Biology - Health Care & Nursing - Immunology & Microbiology - Materials Science - Mathematics & Physics - Medical Sciences - Neurology & Psychiatry - Oncology & Cancer Science - Pharmaceutical Sciences

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endometriosisdysmenorrhea

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