Endometriosis presenting with hemorrhagic ascites, severe anemia, and shock

Morgan TL, Trent L. Morgan, Eric B. Tomich, Tomich EB, Heiner JD, Jason D. Heiner
The American journal of emergency medicine · 2012 · vol. 31(1) , pp. 272.e1–272.e3 · doi:10.1016/j.ajem.2012.05.008 · PMID:22809773 · W2154185761
Case report OA: closed CC0 ⤵ 14 in-corpus citations
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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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Condition tags

endometriosis

MeSH descriptors

Anemia Anemia Ascites Ascites Endometriosis Endometriosis Hemorrhage Hemorrhage Shock Shock Adult Adult Anemia Anemia Ascites Ascites Blood Transfusion Blood Transfusion Contraceptives, Oral Contraceptives, Oral

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (11)

Cited by (14)

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