Recurrent hemorrhagic ascites: a rare presentation of endometriosis.
BACKGROUND
Endometriosis is rarely a cause of recurrent hemorrhagic ascites. This report draws attention to this uncommon condition, which could present a diagnostic dilemma.


METHODS
A young African-American woman who had experienced recurrent hemorrhagic ascites for more than 2 years underwent laparotomy and was found to have extensive pelvic endometriosis. After a hysterectomy and bilateral salpingo-oophorectomy, her ascites resolved.


CONCLUSIONS
Endometriosis should be considered in the differential diagnosis of recurrent hemorrhagic ascites in premenopausal women. The diagnosis always requires operative assessment and histologic confirmation.
Palayekar
Meena
M
Department of Obstetrics and Gynecology, Saint Peter's University Hospital, New Brunswick, New Jersey 08901, USA. mpalayekar@hotmail.com
Jenci
Joseph
J
Carlson
John A
JA
D001201:Ascites / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D003937:Diagnosis, Differential; D004715:Endometriosis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D005260:Female; D006470:Hemorrhage / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D006801:Humans; D007044:Hysterectomy; D010052:Ovariectomy; D012008:Recurrence; D016896:Treatment Outcome