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Ascites and Encapsulating Peritonitis in Endometriosis: a Systematic Review with a Case Report

Thais Fontes de Magalhães et al · Federação Brasileira das Sociedades de Ginecologia e Obstetrícia · 2018

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Abstract Endometriosis can have several different presentations, including overt ascites and peritonitis; increased awareness can improve diagnostic accuracy and patient outcomes. We aimto provide a systematic review and report a case of endometriosis with this unusual clinical presentation. The PubMed/MEDLINE database was systematically reviewed until October 2016. Women with histologically-proven endometriosis presenting with clinically significant ascites and/or frozen abdomen and/or encapsulating peritonitis were included; thosewith potentially confounding conditionswere excluded.Our search yielded 37 articles describing 42 women, all of reproductive age. Ascites was mostly hemorrhagic, recurrent and not predicted by cancer antigen 125 (CA-125) levels. In turn, dysmenorrhea, dyspareunia and infertility were not consistently reported. The treatment choices and outcomes were different across the studies, and are described in detail. Endometriosis should be a differential diagnosis of massive hemorrhagic ascites in women of reproductive age.

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APA 7

al, T. F. D. M. E. (2018). Ascites and Encapsulating Peritonitis in Endometriosis: a Systematic Review with a Case Report. https://doi.org/10.1055/s-0038-1626700

MLA

al, Thais Fontes de Magalhães et. "Ascites and Encapsulating Peritonitis in Endometriosis: a Systematic Review with a Case Report." 2018. https://doi.org/10.1055/s-0038-1626700.

Chicago

al, Thais Fontes de Magalhães et. 2018. "Ascites and Encapsulating Peritonitis in Endometriosis: a Systematic Review with a Case Report.". https://doi.org/10.1055/s-0038-1626700.

Harvard

al, T. F. D. M. E. 2018, Ascites and Encapsulating Peritonitis in Endometriosis: a Systematic Review with a Case Report, Federação Brasileira das Sociedades de Ginecologia e Obstetrícia, available at: https://doi.org/10.1055/s-0038-1626700 [Accessed 5 Aug. 2026].

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Title
Ascites and Encapsulating Peritonitis in Endometriosis: a Systematic Review with a Case Report
Author / contributors
Thais Fontes de Magalhães et al
Publisher
Federação Brasileira das Sociedades de Ginecologia e Obstetrícia
Publication year
2018
ISSN
0100-7203
ISSN
0100-7203
Language
English

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