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• W1996151037 abstract "ObjectiveTo report a case of endometriosis associated with massive ascites and an elevated CA-125 level.DesignCase report.SettingTertiary care center.Patient(s)A 26-year-old woman presented with massive ascites and an increased CA-125 level suggestive of ovarian cancer.Intervention(s)Ultrasonography, laparotomy, and bilateral ovarian cystectomy and reconstruction. Endometriosis was diagnosed postoperatively on the basis of histopathology. The patient received 6 months of treatment with a GnRH analogue.Main Outcome Measure(s)Ultrasound examination 6 months after surgery to evaluate for ascites or recurrent ovarian cysts.Result(s)Frozen sections obtained at laparotomy and ovarian cystectomy ruled out a malignancy. The final histologic report was compatible with a diagnosis of endometriosis. After 6 months of treatment with the GnRH analogue, the patient experienced a progressive reduction of the ascitic fluid and full remission after 2 years.Conclusion(s)Endometriosis associated with massive bloody ascites is an unusual occurrence. This report draws attention to this condition as a complication of endometriosis. For this reason, endometriosis should be included in the differential diagnosis of reproductive-age women presenting with an apparent ovarian malignancy. To report a case of endometriosis associated with massive ascites and an elevated CA-125 level. Case report. Tertiary care center. A 26-year-old woman presented with massive ascites and an increased CA-125 level suggestive of ovarian cancer. Ultrasonography, laparotomy, and bilateral ovarian cystectomy and reconstruction. Endometriosis was diagnosed postoperatively on the basis of histopathology. The patient received 6 months of treatment with a GnRH analogue. Ultrasound examination 6 months after surgery to evaluate for ascites or recurrent ovarian cysts. Frozen sections obtained at laparotomy and ovarian cystectomy ruled out a malignancy. The final histologic report was compatible with a diagnosis of endometriosis. After 6 months of treatment with the GnRH analogue, the patient experienced a progressive reduction of the ascitic fluid and full remission after 2 years. Endometriosis associated with massive bloody ascites is an unusual occurrence. This report draws attention to this condition as a complication of endometriosis. For this reason, endometriosis should be included in the differential diagnosis of reproductive-age women presenting with an apparent ovarian malignancy." @default.
• W1996151037 created "2016-06-24" @default.
• W1996151037 creator A5036682111 @default.
• W1996151037 date "2008-11-01" @default.
• W1996151037 modified "2023-10-09" @default.
• W1996151037 title "Massive ascites as a presentation in a young woman with endometriosis: a case report" @default.
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• W1996151037 doi "https://doi.org/10.1016/j.fertnstert.2008.07.021" @default.
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