Endometriosis and ascites
Case report
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⤵ 15 in-corpus citations
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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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Cited by (15)
- Peritoneal endometriosis presenting as fever of unknown origin, ascites and peritoneal miliary spread: A rare case report and review of the literature 2022
- Clinical Presentation and Management of Endometriosis-Related Hemorrhagic Ascites: A Case Report and Systematic Review of the Literature 2021
- Umbilical Nodule and Hemorrhagic Ascites of Endometriosis Origin: A Clinical Case Report 2018
- Endometriosis presenting with hemorrhagic ascites, severe anemia, and shock 2012
- Endometriosis with massive hemorrhagic ascites 2010
- A systematic review: endometriosis presenting with ascites 2010
- Massive peritoneal fluid and markedly elevated serum CA125 and CA19-9 levels associated with an ovarian endometrioma 2009
- Massive ascites as a presentation in a young woman with endometriosis: a case report 2008
- Pathophysiology of cyclic hemorrhagic ascites and endometriosis 2008
- Endometriosis in African women 2007
- Endometriosis mimicking advanced ovarian cancer 2006
- [Endometriosis with massive hemorrhagic ascites: a case report and review of the literature] 2005
- Endometriosis with massive ascites 1998
- Endometriosis with massive bloody ascites 1997
- Ascites due to endometriosis 1995
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- europepmc
- last seen: 2026-10-16T06:09:50.462052+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-10-08T21:59:25.815134+00:00
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