Endometriosis presenting as relapsing haemorrhagic ascites in a South Asian woman: a case report

Ushna Ahmed, Novera Chughtai
JPMA. The Journal of the Pakistan Medical Association · 2023 · vol. 74(1) , pp. 165–168 · doi:10.47391/jpma.9438 · PMID:38219192 · W4390197562
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This case report describes a South Asian woman with relapsing hemorrhagic ascites due to endometriosis, a rare presentation requiring ovarian suppression and assisted reproduction.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This paper is a case report of a reproductive-age South Asian woman with a subtle history of moderate, relapsing ascites of unknown origin over two years. Using diagnostic laparoscopy and peritoneal histopathology, the authors identified endometriosis as the cause of the hemorrhagic ascites. The report describes ovarian function suppression followed by ongoing assisted reproduction efforts, while noting that ovarian suppression is used successfully and that recurrence is possible without definitive surgery, though the case is limited to a single patient. This paper is centrally about endometriosis — specifically endometriosis presenting as relapsing hemorrhagic ascites.

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Abstract

Endometriosis presenting as ascites is a rare entity, and is more so in women of Asian ethnicity. Less than a hundred cases have been reported worldwide. Majority of patients present with abdominal dist ension and pa in, drai ning massive blood stained serosanguineous fluid. This hinders future fertility prospects of these women. O va rian suppression has been employed as a successful treatment, followed by definitive surgical treatment, such as bilateral salpingo -ooph orectomy, to end the possibility of recurrences, which are otherwise always possible. We present the case of a woman of reproductive age, seeking fertility treatment, who had a more subtle presentation of moderate, but relapsing ascites of un known origin in the past two years. Diagnostic laparoscopy and histopathology of the pe ritoneal deposits suggested endometriosis. Her ovarian func tion was s uppressed, and sh e is curre nt ly underway of a ssisted re produ ction for achieving a pregnancy.
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Endometriosis presenting as relapsing haemorrhagic ascites in a South Asian woman: a case report DOI: https://doi.org/10.47391/JPMA.9438Keywords: Endometriosis, ascites, ovarian suppressionAbstract Endometriosis presenting as ascites is a rare entity, and is more so in women of Asian ethnicity. Less than a hundred cases have been reported worldwide. Majority of patients present with abdominal distension and pain, draining massive blood stained serosanguineous fluid. This hinders future fertility prospects of these women. Ovarian suppression has been employed as a successful treatment, followed by definitive surgical treatment, such as bilateral salpingo-oophorectomy, to end the possibility of recurrences, which are otherwise always possible. We present the case of a woman of reproductive age, seeking fertility treatment, who had a more subtle presentation of moderate, but relapsing ascites of unknown origin in the past two years. Diagnostic laparoscopy and histopathology of the peritoneal deposits suggested endometriosis. Her ovarian function was suppressed, and she is currently underway of assisted reproduction for achieving a pregnancy. Keywords: Endometriosis, ascites, ovarian suppression. Downloads Published How to Cite Issue Section License Copyright (c) 2023 Journal of the Pakistan Medical Association This work is licensed under a Creative Commons Attribution 4.0 International License.

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Ascites Ascites Ascites Ascites Ascites Ascites Ascites Ascites Ascites Ascites Ascites Ascites Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis

Citation neighborhood

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