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Gross Ascites Secondary to Endometriosis: A Rare Presentation in Pre-Menopausal Women
Vishal Bahall1,2, Lance De Barry2, Suman S Harry2
1Obstetrics and Gynaecology, The University of the West Indies, St Augustine, TTO.
Abstract:
Ascites caused by endometriosis is an unusual phenomenon with approximately 60 cases described since it was first reported in 1954. Moreover, such a case has rarely been reported in the Caribbean literature. Ascites is frequently treated with surgical options that do not preserve fertility. This is due to the association of ascites with gynaecological malignancies in women with elevated serum cancer antigen (CA-125). We describe three cases of severe endometriosis associated with massive ascites, successfully treated with hormonal therapy while preserving fertility.
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