Open AccessEndometriosis presenting with recurrent massive hemorrhagic ascites and diagnosed by core needle biopsy
Author(s) -
Xue Wang,
Yiling Li,
Jing Tong,
Bing Chang,
Yi Zhang,
Yanjun Liu,
Bin Hao,
Liping Guo,
Dan Li
Publication year - 2019
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000015477
Subject(s) - medicine , endometriosis , ascites , abdomen , peritoneum , differential diagnosis , surgery , anemia , biopsy , pelvic pain , abdominal pain , radiology , pathology
Rationale: Recurrent massive hemorrhagic ascites secondary to endometriosis is extremely rare in the medical literature. Patient concerns: We report the case of a 24-year-old nulliparous woman presenting with severe abdominal distention, massive ascites, moderate anemia, menstrual pain, and an elevated CA-125 level. Diagnosis: We found a thickened peritoneum in the left lower abdomen by ultrasound during the follow-up period, and endometriosis was subsequently diagnosed by performing core needle biopsy (CNB). Interventions and outcomes: The patient received medical treatment for endometriosis and had a good response to the treatment. Lessons: This is the first case in which endometriosis ectopic to peritoneum was diagnosed by CNB. Endometriosis should be considered a differential diagnosis when recurrent massive hemorrhagic ascites occur. CNB should be valued as a method for diagnosing endometriosis.