Tropical Journal of Obstetrics and Gynaecology

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Endometriosis with massive recurrent hemorrhagic ascites: A case report

Edouard N’guessan, N’goran Kouamé, Franck Gbeli, Privat Guie


Ascites is a rare manifestation of endometriosis. The case reported is that of a 26‑year‑old woman with recurrent massive hemorrhagic ascites. The analysis of biopsy specimens made at laparoscopy confirmed the diagnosis. The report noted pelvic endometriosis associated but there was no umbilical or pleural involvement. The evolution was favorable under a long term hormone treatment (by GnRH analogues) with relay through continuous estrogen‑progestogen. The diagnostic and therapeutic difficulties of this rare form of endometriosis are presented through a review of the literature.

Keywords: Endometriosis; hemorrhagic ascites; management

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