title: Hemorrhagic ascites associated with endometriosis. A case report.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Brazil.
authors.forename: C C
authors.initials: CC
authors.lastname: Dias
authors.forename: J M
authors.initials: JM
authors.lastname: Andrade
authors.forename: R A
authors.initials: RA
authors.lastname: Ferriani
authors.forename: M G
authors.initials: MG
authors.lastname: Villanova
authors.forename: R S
authors.initials: RS
authors.lastname: Meirelles
mesh_terms: 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
chemical_list: D007987:Gonadotropin-Releasing Hormone