Endometriosis associated with relapsing ascites and pleural effusions

Hasdemir, Pınar Solmaz; Ikiz, N.; Özçakır, Hasan Tayfun; Kara, Eray; Güvenal, Tevfik

doi:10.3109/01443615.2014.948823

Cited by 8 publications

(10 citation statements)

References 6 publications

(10 reference statements)

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“…3,6,8,[27][28][29][30] Ethnicity or origin was not described at all for the remaining 16 patients. 5,7,11,14,[31][32][33][34][35][36][37][38][39][40][41][42] Records identified through a database search (n = 234)…”

Section: Patient Characteristics and Clinical Presentationmentioning

confidence: 99%

“…5,14,15,19,34 The volume of ascitic fluid was not shown in some studies, but there are reports of 4.2 L, 4.8 L, 5.0 L and 7 L. 13,29,36,41 There was associated pleural effusion in eleven patients. 3,12,18,19,21,23,32,33,40 Liver involvement by endometriosis was cited in four cases, including one with cysts and another with non-specified focal lesions. 3,34 Twenty-two articles reported CA-125 levels.…”

Section: Eligibility Identificationmentioning

confidence: 99%

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Ascites and Encapsulating Peritonitis in Endometriosis: a Systematic Review with a Case Report

Magalhães

Augusto

Mota

et al. 2018

Rev Bras Ginecol Obstet

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Endometriosis can have several different presentations, including overt ascites and peritonitis; increased awareness can improve diagnostic accuracy and patient outcomes. We aim to provide a systematic review and report a case of endometriosis with this unusual clinical presentation. The PubMed/MEDLINE database was systematically reviewed until October 2016. Women with histologically-proven endometriosis presenting with clinically significant ascites and/or frozen abdomen and/or encapsulating peritonitis were included; those with potentially confounding conditions were excluded. Our search yielded 37 articles describing 42 women, all of reproductive age. Ascites was mostly hemorrhagic, recurrent and not predicted by cancer antigen 125 (CA-125) levels. In turn, dysmenorrhea, dyspareunia and infertility were not consistently reported. The treatment choices and outcomes were different across the studies, and are described in detail. Endometriosis should be a differential diagnosis of massive hemorrhagic ascites in women of reproductive age.

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Section: Patient Characteristics and Clinical Presentationmentioning

confidence: 99%

Section: Eligibility Identificationmentioning

confidence: 99%

Ascites and Encapsulating Peritonitis in Endometriosis: a Systematic Review with a Case Report

Magalhães

Augusto

Mota

et al. 2018

Rev Bras Ginecol Obstet

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“…6 So severity of ascites could be proportional to severity of endometriosis. 4 Such ascites may even be concurrent with pleural effusion, presenting in 40% of the reviewed subjects 10 with thoracentesis having been employed as an efficient and convenient approach for drainage. 7,10 The utility of CA-125 in the diagnosis of endometriosis is 166…”

Section: Discussionmentioning

confidence: 99%

“…The intra-operative findings in our case were similar to those reported in other studies: extensive pelvic peritoneal adhesions, extra-pelvic endometriosis, and dark brown serosanguineous fluid; all being suggestive of advanced disease. 4,6,7,9,10 The medical management of such ascites aims to suppress ovarian function, which is the corner stone of the treatment of endometriosis. 4 About 97% of patients reported using hormonal therapy, such as GnRH agonist, progesterone, combination oral contraceptive (COCP) pills or a combination.…”

Section: Discussionmentioning

confidence: 99%

Endometriosis presenting as relapsing haemorrhagic ascites in a South Asian woman: a case report

Ahmed,

Chughtai

2023

J Pak Med Assoc

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Endometriosis presenting as ascites is a rare entity, and is more so in women of Asian ethnicity. Less than a hundred cases have been reported worldwide. Majority of patients present with abdominal distension and pain, draining massive blood stained serosanguineous fluid. This hinders future fertility prospects of these women. Ovarian suppression has been employed as a successful treatment, followed by definitive surgical treatment, such as bilateral salpingo-oophorectomy, to end the possibility of recurrences, which are otherwise always possible. We present the case of a woman of reproductive age, seeking fertility treatment, who had a more subtle presentation of moderate, but relapsing ascites of unknown origin in the past two years. Diagnostic laparoscopy and histopathology of the peritoneal deposits suggested endometriosis. Her ovarian function was suppressed, and she is currently underway of assisted reproduction for achieving a pregnancy. Keywords: Endometriosis, ascites, ovarian suppression.

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“…46 Endometriosis with ascites or pleural effusion was first described by Brews in 1954. 47 Incidence: Although rare, if endometriosis is complicated by massive ascites, pleural effusion is found in approximately 30% of these patients. 23,48 Etiology and pathogenesis: Patients are of reproductive age and commonly nulliparous.…”

Section: Endometriosis and Pleural Effusionmentioning

confidence: 99%

Pleural Disease in Women

Argento

Gillespie

2019

Semin Respir Crit Care Med

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There are several pleural diseases that occur either predominantly or exclusively in females. Most of these entities are related to obstetric or gynecological conditions. In this article, we will provide an overview of Meigs' syndrome, ovarian hyperstimulation syndrome, endometriosis, catamenial pneumothorax, catamenial hemothorax, pleural effusions that occur in the peripartum period, lymphangioleiomyomatosis, and malignant pleural effusions related to breast cancer. As most of these diagnoses are rare, considerable expertise is required to identify, diagnose, and manage these patients. The aim of this article is to present an overview of the most common forms of pleural disease affecting women, and to provide an easy reference source on current best practice.

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Endometriosis associated with relapsing ascites and pleural effusions

Abstract: Figure 1. Th e computerised tomographic images show ascites (A) indicated by asterisks; pleural eff usion (B) and endometrioma in the left ovary (C) indicated by arrows. J Obstet Gynaecol Downloaded from informahealthcare.com by Nyu Medical Center on 06/11/15For personal use only.

Cited by 8 publications

References 6 publications

Ascites and Encapsulating Peritonitis in Endometriosis: a Systematic Review with a Case Report

Ascites and Encapsulating Peritonitis in Endometriosis: a Systematic Review with a Case Report

Endometriosis presenting as relapsing haemorrhagic ascites in a South Asian woman: a case report

Pleural Disease in Women

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