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.
Department of Obstetrics and Gynecology, Saint Peter's University Hospital, New Brunswick, New Jersey 08901, USA. mpalayekar@hotmail.com
Meena
M
Palayekar
Joseph
J
Jenci
John A
JA
Carlson
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