August 23rd, 2019

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An Uncommon Presentation of Endometriosis: A Case Report
Authors:  Zeynep Soyman, M.D., Besim H. Bacanakgil, M.D., Serdar Kaya, M.D., and Mushviga Hasanova, M.D.
BACKGROUND: Endometriosis, an estrogen-dependent inflammatory disease, is defined by the growth of endometrial tissue outside of the uterine cavity. Hemorrhagic ascites due to endometriosis is an exceedingly uncommon diagnosis.

CASE: A 31-year-old nulligravid woman presented with abdominal pain, ovarian mass, and ascites. Surgical findings and histopathology were consistent with a diagnosis of stage 4 endometriosis. The patient was discharged to home with 6 months of GnRH analogue therapy.

CONCLUSION: Endometriosis may be a cause of ascites and mass formation in the pelvis. Laparoscopy or laparotomy and biopsy are necessary for an accurate diagnosis. GnRH analogue therapy can be given to prevent the accumulation of ascites after surgery. Endometriosis must be kept in mind for the differential diagnosis of cases presenting with hemorrhagic ascites.
Keywords:  ascites, endometriosis, GnRH analogue, malignancy, ovarian mass
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