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Ascites due to endometriosis

M Spitzer¹, F Benjamin

¹Department of Obstetrics & Gynecology, Queens Hospital Center, Jamaica, New York 11432, USA.

Obstetrical & Gynecological Survey

|August 1, 1995

Summary

Endometriosis can cause massive ascites, mimicking ovarian cancer, particularly in young women. Endocrine therapy is often preferred over surgery for managing this rare but significant complication.

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Area of Science:

Gynecology
Oncology
Reproductive Medicine

Background:

Endometriosis is a common gynecological condition.
Ascites is a rare but serious complication of endometriosis.
Endometriosis-associated ascites can mimic ovarian cancer, complicating diagnosis.

Observation:

This study presents a case of endometriosis with massive, recurrent ascites.
A literature review of 19 similar cases is included.
The condition predominantly affects nulliparous young Black women.

Findings:

Endometriosis can present with massive and recurrent ascites, often mistaken for malignancy.
Endocrine therapy is a preferred treatment, especially in young women, to preserve ovarian function.
The pathogenesis of endometriosis-associated ascites remains unknown.

Implications:

Increased awareness among gynecologists and oncologists is crucial for accurate diagnosis.
Distinguishing endometriosis-associated ascites from ovarian cancer is vital for appropriate patient management.
Further research into the pathogenesis may lead to novel therapeutic strategies.

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