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A case of omental endometriosis with recurrent haemorrhagic ascites in a 22 year old nullipara is presented. She first presented at a private hospital with a three month history of progressive abdominal distention and the transabdominal ultrasound scan revealed a right ovarian mass with massive ascites. She had laparotomy and the histology reports of the omental and ovarian samples revealed endometriosis and fibroma respectively. She presented to us with a recurrence of the distension six months later. Repeat transabdominal ultrasound scan and an abdominopelvic computed tomograhpy revealed only a massive ascites. She had a second laparotomy and the histology of the degenerating omental sample still revealed endometriosis. Patient was managed satisfactorily on hormonal therapy without recurrence over a two year follow up. The Literature on the appropriate imaging modalities in endometriosis is reviewed and these showed that with judicious use, imaging is accurate in the pre operative diagnosis.

iosr journal of dental and medical sciences

Omental Endometriosis: A Rare Site and an Unusual Association with Ovarian Fibroma and Haemorrhagic Ascites. A Case Report And Review of The Imaging Techniques