Endometriosis with Massive Ascites: A Rare Entity

¹Professor, Obstetrics and Gynaecology, MGIMS, Sevagram, Wardha, Maharashtra, India

²Senior Resident, Obstetrics and Gynaecology, MGIMS, Sevagram, Wardha, Maharashtra, India

³Junior Resident, Obstetrics and Gynaecology, MGIMS, Sevagram, Wardha, Maharashtra, India

*Corresponding Author: Heena Kauser, Junior Resident, Obstetrics and Gynaecology, MGIMS, Sevagram, Wardha, Maharashtra, India; Email: [email protected]

Received Date: January 16, 2023

Publication Date: April 15, 2023

Citation: Kumar P, et al. (2023). Endometriosis with Massive Ascites: A Rare Entity. Mathews J Case Rep. 8(4):103.

Copyright: Kumar P, et al. © (2023)

ABSTRACT

Endometriosis associated with massive haemorrhagic ascites is an uncommon finding. In most cases, the presence of massive haemorrhagic ascites is associated with malignancies, hepatoma, tuberculosis & perforated viscera. A 23-year-old unmarried female was admitted to the gynae ward with massive ascites, leading to breathlessness, and abdominal distension, associated with cachexia and respiratory and abdominal discomfort. After, while investigating & managing her, we found that the ascitic fluid is haemorrhagic type, which led to further investigation to rule out other possible causes. Finally, the decision was made to take her for exploratory laparotomy, and 22 litres of ascitic fluid was drained. Ascitic fluid cytology and histopathology of tissue were suggestive of endometriosis.

Keywords: Endometriosis, Haemorrhagic Ascites