PERITONEAL ENDOMETRIOSIS REVEALED BY A RECURRENT HEMORRHAGIC ASCITES: A CASE REPORT AND REVIEW OF LITERATURE
Journal Title: European Journal of Pharmaceutical and Medical Research - Year 2018, Vol 5, Issue 7
Abstract
Endometriosis is a relatively common disease. It mainly affects young, nulliparous women of reproductive age. It is defined by the ectopic presence and development of the endometrial epithelium and stroma outside the uterine cavity, mainly at the peritoneum and ovaries, responsible for very varied and non-specific clinical pictures. Extragenital forms lead to evocative manifestations through their perimenstrual recrudescence. Endometriosis -related hemorrhagic ascites is exceptional. Its diagnosis is difficult, and if this association is encountered, neoplasm must be evoked, essentially the ovarian malignancy, that should be eliminated first. The diagnosis has to be confirmed by the anatomopathological examination of biopsies or resection during laparoscopy. The endometriosis -related hemorrhagic ascites treatment is medical and surgical. The medical treatment is an hormonal-based therapy with LHRH analogues or a long term progestative therapy with frequent tendency of ascites recurrence. In the light of a literature review, we report a case of a peritoneal endometriosis revealed by a recurrent ascites in a 24-year-old nulliparous patient. The regression of ascites was obtained after six months of LHRH analogues treatment. Three months later, the patient was subsequently followed up for her spontaneously conceived pregnancy. She had a normal vaginal delivery at 41 weeks of gestational age. The postpartum period was marked by a recurrence of ascites.
Authors and Affiliations
Dr. Fatima Elmangoub
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