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Obstetrics and gynecology · Aug 2007
Recurrent hemorrhagic ascites: a rare presentation of endometriosis.
- Meena Palayekar, Joseph Jenci, and John A Carlson.
- Department of Obstetrics and Gynecology, Saint Peter's University Hospital, New Brunswick, New Jersey 08901, USA. mpalayekar@hotmail.com
- Obstet Gynecol. 2007 Aug 1;110(2 Pt 2):521-2.
BackgroundEndometriosis is rarely a cause of recurrent hemorrhagic ascites. This report draws attention to this uncommon condition, which could present a diagnostic dilemma.CaseA 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.ConclusionEndometriosis 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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