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Massive ascites associated wth endometriosis

F A Chervenak, R M Greenlee, L Lewenstein

    Obstetrics and Gynecology
    |March 1, 1981
    PubMed
    Summary
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    Massive ascites, a rare complication of pelvic endometriosis, was observed in two new cases and seven from literature. Management strategies, including conservative surgery and danazol, were explored for this unusual presentation.

    Area of Science:

    • Gynecology
    • Surgical Oncology
    • Reproductive Endocrinology

    Background:

    • Pelvic endometriosis is a common gynecological condition.
    • Massive ascites is an extremely rare manifestation of endometriosis.
    • Understanding the pathophysiology is crucial for effective management.

    Observation:

    • Two novel cases of massive ascites secondary to pelvic endometriosis were identified.
    • A comprehensive review of seven additional cases from existing literature was conducted.
    • Clinical presentations and surgical findings were documented for all cases.

    Findings:

    • The study details the clinical courses and operative findings associated with massive ascites in endometriosis.
    • Management approaches, encompassing both surgical and medical interventions, are presented.

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  • Etiological factors contributing to ascites formation in these cases are explored.

    • Implications:

    • Conservative surgical approaches may be viable for select patients.
    • Hormonal therapy, specifically danazol, shows potential in managing endometriosis-associated ascites.
    • This review highlights the importance of considering endometriosis in the differential diagnosis of massive ascites.