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- Anastasia Goumenou, Ioannis Matalliotakis, Neal Mahutte, and Eugenios Koumantakis.
- Department of Obstetrics and Gynecology, University of Crete, Heraklion, Greece.
- Fertil. Steril. 2006 Jul 1;86(1):219.e23-5.
ObjectiveTo report a case of endometriosis associated with massive ascites, pleural effusion, and extremely elevated Ca-125.DesignCase report.SettingUniversity hospital.Patient(S)A 46-year-old, white nulligravida with bilateral adnexal masses, Ca-125 of 3,504 U/mL, abdominal pain, ascites, and a pleural effusion.Intervention(S)Chemotherapy followed by exploratory laparotomy for suspected ovarian cancer.Main Outcome Measure(S)Surgical findings and histopathology.Result(S)Intraoperative examination and histology ruled out malignancy but found stage IV endometriosis.Conclusion(S)In rare instances advanced endometriosis may be associated with ascites, pleural effusions, and large pelvic masses. For this reason endometriosis should be included in the differential diagnosis of reproductive-age women presenting with apparent ovarian malignancy.
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