Hemorrhagic ascites associated with endometriosis. A case report.
BACKGROUND
Endometriosis associated with massive, bloody ascites is an unusual occurrence. This report draws attention to this condition as a complication of endometriosis, with the description of a case and a review of 31 others.


METHODS
A 41-year-old, black nulligravida with massive, bloody ascites and a pelvic mass underwent laparotomy, and an intraoperative microscopic examination ruled out malignancy. The histologic report was compatible with endometriosis. The patient was treated with a GnRH analog, with progressive reduction of ascitic fluid and full remission after six months.


CONCLUSIONS
Bloody ascites should be considered a complication of endometriosis, especially in nulliparous women of childbearing age with abdominal distention, a pelvic mass, dysmenorrhea, abdominal pain, weight loss and eventual pleural effusion, suggesting a diagnosis of ovarian malignancy.
Dias
C C
CC
Department of Obstetrics and Gynecology, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Brazil.
Andrade
J M
JM
Ferriani
R A
RA
Villanova
M G
MG
Meirelles
R S
RS
D000328:Adult; D001201:Ascites / Q000188:drug therapy / Q000209:etiology*; D003937:Diagnosis, Differential; D004715:Endometriosis / Q000150:complications* / Q000175:diagnosis; D005260:Female; D007987:Gonadotropin-Releasing Hormone / Q000819:agonists; D006470:Hemorrhage / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D010532:Peritoneal Diseases / Q000150:complications* / Q000175:diagnosis
D007987:Gonadotropin-Releasing Hormone