Endometriosis and Ascites

London S, S London, STEVE LONDON, Parmley T, Tim H. Parmley, T Parmley
Southern medical journal · 1993 · vol. 86(10) , pp. 1173–1174 · doi:10.1097/00007611-199310000-00022 · PMID:8211342 · W1576972497
article OA: closed CC0 ⤵ 15 in-corpus citations
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-08 ⓘ

This case study presents a 29-year-old black woman with ascites and an adnexal mass, later diagnosed as endometriosis, questioning the prognosis of such lesions despite benign histology.

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Abstract

A 29-year-old black woman had increasing abdominal girth, dullness to percussion, and an irregular mass in the left adnexal region. At laparotomy, 6 L of dark brown fluid was removed, and the abdominal cavity had the appearance of extensive carcinomatosis. Subsequent histology was consistent with endometriosis. Fourteen cases of endometriosis producing symptoms resembling ovarian cancer have been previously reported. Of the 10 patients whose race was mentioned, 9 were black, as was our patient. The etiology of the ascites is unknown. Histologically, the endometrial implants show dense stroma and a slightly hyperplastic epithelium rather than the physiologic proliferative endometrium usually associated with endometriosis. This leads us to question the prognosis of the lesion despite its apparently benign histology.

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Condition tags

endometriosis

MeSH descriptors

Ascites Black People Endometrial Hyperplasia Endometriosis Peritoneal Diseases Adult Ascites Ascitic Fluid Ascitic Fluid Endometrial Hyperplasia Endometrial Hyperplasia Endometrial Hyperplasia Endometriosis Endometriosis Endometriosis Female Hemosiderin Hemosiderin Humans Hysterectomy

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 (15)

Source provenance

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