Endometriosis presenting with hemorrhagic ascites, severe anemia, and shock
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This case report details a patient with endometriosis who presented with hemorrhagic ascites, severe anemia, and shock, highlighting a rare but serious clinical manifestation of the condition.
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Abstract
Hemorrhagic ascites due to endometriosis is an exceedingly uncommon diagnosis rarely reported in the medical literature. We present a case of a 27-year-old woman who presented to the emergency department for flank and neck pain and was found to be hypotensive with massive hemorrhagic ascites and severe anemia. After emergency department resuscitation and hospitalization, her condition was found to be due to complications of endometriosis. A paracentesis of more than 4000 mL of bloody ascitic fluid revealed no evidence of cancer, and she was discharged on hospital day 3 with hormone therapy and no recurrence of symptoms upon outpatient follow-up. This case illustrates the clinical management, diagnostic approach, and underlying etiology of an infrequent but life-threatening complication of endometriosis.
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Cited by (14)
- Abdominal Cocoon and Recurrent Haemorrhagic Ascites, Unexpected Findings in Endometriosis: A Case Report and Review of Literature 2024
- Endometriosis presents with massive hemorrhagic ascites and catamenial hemopneumothorax 2023
- Peritoneal endometriosis presenting as fever of unknown origin, ascites and peritoneal miliary spread: A rare case report and review of the literature 2022
- Spontaneous Rupture of Huge Ovarian Endometrioma and Its Successful Laparoscopic Management: A Case-Study and Review of Literature 2022
- Clinicopathological Characteristics and Outcomes of Patients With Endometriosis-Related Hemorrhagic Ascites: An Updated Systematic Review of the Literature 2022
- Novel triple therapy for hemorrhagic ascites caused by endometriosis: A case report 2020
- Endometriosis Presenting as Recurrent Haemorrhagic Ascites: A Case Report and Literature Review. 2020
- Novel triple therapy for hemorrhagic ascites caused by endometriosis: A case report 2020
- Massive recurrent hemoperitoneum with encapsulating peritonitis: another enigmatic clinical feature of endometriosis 2019
- Endometriosis presenting with recurrent massive hemorrhagic ascites and diagnosed by core needle biopsy 2019
- A rare case of endometrioma in a bitch 2015
- A Very Rare Case of Endometriosis Presenting With Massive Hemoperitoneum 2015
- Huge endometrioma with severe ascites mimicking ovarian cancer 2014
- Endometriosis: a rare and interesting cause of recurrent haemorrhagic ascites 2014
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- europepmc
- last seen: 2026-09-10T06:15:44.054944+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-05-13T22:16:11.197438+00:00
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