title: Endometriosis with massive ascites.
abstract: We present 4 cases of endometriosis complicated by massive ascites from our institution and a review of 27 cases from the literature. In most of these patients, the presence of ascites with its related symptoms in association with pelvic masses suggested a neoplastic disease. However, a large proportion of these women had also classical manifestations of endometriosis, e.g., dysmenorrhea, cul-de-sac nodularities, and exacerbation of ascites and other symptoms during the menses. The response to hormonal therapy including GnRH agonists was often unsatisfactory. Repeat recurrences and severe complications required multiple laparotomies and thoracotomies for associated pleural and pulmonary involvement.
authors.affiliation: Department of Obstetrics and Gynecology, Radiology, State University of New York Health Science Center at Brooklyn, 11203, USA.
authors.forename: O
authors.initials: O
authors.lastname: Muneyyirci-Delale
authors.forename: G
authors.initials: G
authors.lastname: Neil
authors.forename: E
authors.initials: E
authors.lastname: Serur
authors.forename: D
authors.initials: D
authors.lastname: Gordon
authors.forename: M
authors.initials: M
authors.lastname: Maiman
authors.forename: A
authors.initials: A
authors.lastname: Sedlis
mesh_terms: D000328:Adult; D001201:Ascites / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D003937:Diagnosis, Differential; D004715:Endometriosis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005260:Female; D007987:Gonadotropin-Releasing Hormone / Q000037:antagonists & inhibitors; D006801:Humans; D010386:Pelvic Neoplasms / Q000175:diagnosis; D012086:Reoperation; D016896:Treatment Outcome
chemical_list: D007987:Gonadotropin-Releasing Hormone