ArticleJournal of medical case reports2026
Endometriosis with hemorrhagic ascites in a perimenopausal woman: a case report.
Article in Journal of medical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundHemorrhagic ascites is a rare manifestation of endometriosis. Here, we present an unusual case in a perimenopausal woman that was successfully managed laparoscopically, and summarize its clinical characteristics to provide guidance for early diagnosis of the disease. CASE PRESENTATION: A 48-year-old Han Chinese woman experienced hemorrhagic ascites for 6 months. During surgery, the uterus was found adhered to the anterior walls of the sigmoid colon and rectum, forming an encapsulated cyst. Laparoscopic hysterectomy and bilateral oophorectomy were performed, with histopathology confirming endometriosis. The patient recovered well after surgery.
conclusionThis case emphasizes the importance of excluding malignant tumors. Diagnosis relies on surgical pathology. For perimenopausal or postmenopausal women, total hysterectomy with bilateral adnexectomy is recommended to reduce the risk of recurrence and malignant transformation.
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