Recurrent hemorrhagic ascites: a rare presentation of endometriosis
Case report
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⤵ 12 in-corpus citations
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This case report highlights endometriosis as an uncommon cause of recurrent hemorrhagic ascites in a young woman, resolved by hysterectomy and bilateral salpingo-oophorectomy.
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Abstract
BACKGROUND: Endometriosis is rarely a cause of recurrent hemorrhagic ascites. This report draws attention to this uncommon condition, which could present a diagnostic dilemma.
CASE: A young African-American woman who had experienced recurrent hemorrhagic ascites for more than 2 years underwent laparotomy and was found to have extensive pelvic endometriosis. After a hysterectomy and bilateral salpingo-oophorectomy, her ascites resolved.
CONCLUSION: Endometriosis should be considered in the differential diagnosis of recurrent hemorrhagic ascites in premenopausal women. The diagnosis always requires operative assessment and histologic confirmation.
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References (9)
- Ascites due to endometriosis via openalex
- Endometriosis. Current issues in diagnosis and medical management via openalex
- Endometriosis mimicking advanced ovarian cancer via openalex
- [Endometriosis with ascites and pleural effusion: a case report] via openalex
- [Endometriosis with massive hemorrhagic ascites: a case report and review of the literature] via openalex
- Hemorrhagic ascites associated with endometriosis. A case report via openalex
- Massive ascites due to endometriosis via openalex
- W1997859526 via openalex
- W6601731700 via openalex
Cited by (13)
- Peritoneal endometriosis presenting as fever of unknown origin, ascites and peritoneal miliary spread: A rare case report and review of the literature 2022
- Clinicopathological Characteristics and Outcomes of Patients With Endometriosis-Related Hemorrhagic Ascites: An Updated Systematic Review of the Literature 2022
- Clinical Presentation and Management of Endometriosis-Related Hemorrhagic Ascites: A Case Report and Systematic Review of the Literature 2021
- Endometriosis presenting with recurrent massive hemorrhagic ascites and diagnosed by core needle biopsy: A case report 2019
- Benign endometriosis masquerading as intra-abdominal malignancy: One of the most extreme cases reported and a review of the literature 2018
- Benign endometriosis masquerading as intra-abdominal malignancy: One of the most extreme cases reported and a review of the literature 2018
- Ascites and Encapsulating Peritonitis in Endometriosis: a Systematic Review with a Case Report 2018
- A Rare Presentation of Endometriosis with Massive Haemorrhagic Ascites: A Case Report 2017
- A rare presentation of endometriosis 2012
- Endometriosis presenting with hemorrhagic ascites, severe anemia, and shock 2012
- A systematic review: endometriosis presenting with ascites 2010
- Pathophysiology of cyclic hemorrhagic ascites and endometriosis 2008
- Differential diagnosis of gynecologic organ-related diseases in women presenting with ascites 2008
Source provenance
- europepmc
- last seen: 2026-10-11T09:27:45.537177+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-10-08T21:04:31.715410+00:00
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