Endometriosis presenting as recurrent massive haemorrhagic ascites

Verryn MT, Mark Trevor Verryn, Alistair Guy Balleine Broadhurst, Broadhurst AGB, Christine Els, Els C, Ayanda Trevor Mnguni, Mnguni AT, Schietekat D, Denzil Schietekat, Nawhaal Sonday, Sonday N
BMJ case reports · 2026 · vol. 19(8) , pp. e274998 · doi:10.1136/bcr-2026-274998 · PMID:42595382 · W7202413709
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A case report describes a female patient with recurrent massive hemorrhagic ascites and negative workup for common causes, where laparoscopic tissue confirmed endometriosis as the underlying diagnosis.

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Abstract

Haemorrhagic ascites (HA) is an uncommon clinical entity commonly caused by cirrhosis, malignancy and iatrogenic intervention. In the absence of these causes, it poses a diagnostic challenge. We present a case of a female with recurrent massive HA with a negative extensive work-up of common causes of HA. Laparoscopically obtained tissue eventually confirmed the diagnosis of endometriosis. This case demonstrates important diagnostic pitfalls in HA and highlights consideration of rarer causes.

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MeSH descriptors

Ascites Ascites Ascites Ascites Ascites Ascites Ascites Ascites Ascites Ascites Ascites Ascites Ascites Ascites Ascites Ascites Ascites Ascites Ascites Ascites

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 (23)

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