Mendes Sofia, Carvalho Catarina, Rodrigues GonÇalo, Barata Sónia, Calhaz-Jorge Carlos, Osório Filipa
Obstetrics and Gynecology Department, Centro Hospitalar Lisboa Norte, Hospital Santa Maria, Lisboa, Portugal.
Minimally Invasive Surgery Department/Obstetrics and Gynecology Department Centro Hospitalar Lisboa Norte, Hospital Santa Maria, Lisboa, Portugal.
Surg Technol Int. 2018 Jun 1;32:150-155.
Endometriosis-related ascites is rare and is frequently confused with an ovarian malignancy. Since it affects women in reproductive age, its diagnosis and therapy are even more challenging. These patients usually present with abdominal distension, pelvic pain, and weight loss, but a careful questioning usually reveals the typical endometriosis symptoms-such as dysmenorrhea and dyspareunia. We present three cases of endometriosis-related ascites, one of them with pleural effusion. All cases were associated with extensive disease and required laborious laparoscopic surgery, medical therapy with gonadotropin releasing hormone analogs, and long-term follow-up. One of the patients delivered twins following an in vitro fertilization (IVF) cycle without recurrence of ascites. We aim to raise awareness toward the importance of considering endometriosis in a patient with ascites of unknown origin.
子宫内膜异位症相关腹水较为罕见，常被误诊为卵巢恶性肿瘤。由于其发病于育龄期女性，其诊断和治疗更具挑战性。这些患者通常表现为腹胀、盆腔疼痛和体重减轻，但仔细询问往往会发现典型的子宫内膜异位症症状，如痛经和性交困难。我们报告三例子宫内膜异位症相关腹水病例，其中一例伴有胸腔积液。所有病例均伴有广泛病变，需要进行复杂的腹腔镜手术、使用促性腺激素释放激素类似物进行药物治疗以及长期随访。其中一名患者在体外受精（IVF）周期后产下双胞胎，腹水未复发。我们旨在提高对不明原因腹水患者考虑子宫内膜异位症重要性的认识。
