American Journal of Medical Case Reports. 2021, 9(10), 509-511
DOI: 10.12691/AJMCR-9-10-8
Recurrent Haemorhagic Ascites - A Rare Presentation of Endometriosis
Anjuman Sultana1, and Shohael Mahmud Arafat2
1Department of Gynaecological Oncology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
2Department of Internal Medicine, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
Pub. Date: June 14, 2021
Cite this paper
Anjuman Sultana and Shohael Mahmud Arafat. Recurrent Haemorhagic Ascites - A Rare Presentation of Endometriosis.
American Journal of Medical Case Reports. 2021; 9(10):509-511. doi: 10.12691/AJMCR-9-10-8
Abstract
Background: Endometriosis is defined as the presence of endometrial glands and stroma outside the uterus. Recurrent hemorrhagic ascites as a clinical manifestation of endometriosis is rare. On the other hand endometriosis as a cause of ascites is not considered in current practice. We report the case of a 25 year old woman who presents recurrent hemorrhagic ascites with endometriosis. Case summary: A 25 year old para nil Bangladeshi woman suddenly developed huge ascites with abdominal pain. Ascitic fluid was reddish in color with plenty of RBC. The Initial diagnosis was considered as TB. But as symptom did not subside after administration of anti-TB drug further investigations was carried out including laparoscopy. The diagnosis was established by histology proven endometriosis, exclusion of other causes and treatment response. Conclusion: This case requires long-term follow-up with continuing medical management at least until the patient's family is complete when a surgical option as bilateral salpingo-oophorectomy with or without hysterectomy can be discussed.
Keywords
endometeriosis, recurrent, hemorrhagic, ascites
Copyright
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References
[1] | Bulletti C, Coccia ME, Battistoni S, Borini A. Endometriosis and infertilityā€¯. Journal of Assisted Reproduction and Genetics 2010; 27(8): 441-7. |
|
[2] | Chapron C, Chopin N, Borghese B et al. Deeply infiltrating endometriosis: Pathogenic implications of the anatomical distribution. Hum Reprod. 2006; 21: 1839-1845. |
|
[3] | Roman H, Vassilieff M, Gourcerol G. Surgical management of deep infiltrating endometriosis of the rectum: pleading for a symptom-guided approach. Hum Reprod. 2010; 14: 78-82. |
|
[4] | Eamudomkarn N, Likitdee N, Kleebkaow P, and Chumnan Kietpeerakool. Endometriosis-Associated Massive Ascites in an Asian Woman: A Case Report of a Rare Clinical Entity. Case Rep Obstet Gynecol. 2020; 2020: 8879643. |
|
[5] | Gungor T, Kanat-Pektas M, Ozat M, Zayifoglu Karaca M. A systematic review: endometriosis presenting with ascites. Arch Gynecol Obstet 2011; 283(3): 513-518. |
|
[6] | M Spitzer , F Benjamin. Ascites due to endometriosis. Obstet Gynecol Surv 1995; 50(8): 628-31. |
|
[7] | van der Linden PJ. Theories on the pathogenesis of endometriosis. Human Reproduction 1996; 11 Suppl 3: 53-65. |
|
[8] | Parasar P, Ozcan P, Terry KL. Endometriosis: Epidemiology, Diagnosis and Clinical Management. Curr Obstet Gynecol Rep. 2017; 6(1): 34-41. |
|
[9] | Ussia A, Betsas G, Corona R, De Cicco C, Koninckx PR. Pathophysiology of cyclic hemorrhagic ascites and endometriosis. J Minim Invasive Gynecol 2008; 15(6): 677-681. |
|
[10] | Asadzadeh N, Chaichian S, Ziadloo M, Bayat SM, Sheikhvatan M. Long-term Recurrence of Endometriosis inWomen with Subfertility Caused by Endometriosis: A Comparison of the Efficacy of Surgery and Assisted Reproductive Technology as Fertilization Treatment Approaches. Shiraz E-Med J. 2021; 22(1): e99676. |
|