Endometriosis with ascites

Endometriosis associated with ascites is a rare entity. Since 1954 only 12 cases have been reported. We report here another case, seen at Songklanagarind Hospital. Clinical course, line of investigation and operative findings are described, and the management is presented. The point of diagnosis, appropriate management and possible etiologic mechanisms are discussed. Ascites in the female patient draws clinical awareness to possible genital malignancy if cardiac, hepatic, and renal disease and tuberculosis can be ruled out. However, some other benign condition can cause ascites, although it is an unusual entity. One such condition is endometriosis.