Gonzalez Alejandro, Artazcoz Santiago, Elorriaga Francisco, Timmons Douglas, Carugno Jose
Obstetrics and Gynaecology Department, Hospital Naval Pedro Mallo, Buenos Aires, Argentina.
Department of Obstetrics, Gynecology, and Reproductive Sciences, Division of Minimally Invasive Gynecology, University of Miami Miller School of Medicine, Miami, FL, USA.
Int J Fertil Steril. 2020 Apr;14(1):72-75. doi: 10.22074/ijfs.2020.5895. Epub 2020 Feb 25.
Endometriosis is a common condition that occurs in 6-10% of all reproductive age women. This number increases to approximately 40% in women with infertility and nearly 75% in women with complaints of chronic pelvic pain. Endometriosis is characterized by the presence of endometrial glands and stroma outside the uterine cavity. The most common complaints associated with endometriosis are dysmenorrhea and pelvic pain; however, patients often present with a variety of symptoms and on occasion are asymptomatic. When presenting with haemorrhagic ascites, endometriosis mimics ovarian malignancy. Conservative medical treatment is a feasible management option, especially in young patients who desire to preserve fertility. This article aims to present an extremely rare presentation of endometriosis, haemorrhagic ascites, and a review of the associated literature.
子宫内膜异位症是一种常见病症，在所有育龄妇女中发病率为6%至10%。在不孕症女性中，这一数字增至约40%，而在有慢性盆腔疼痛主诉的女性中接近75%。子宫内膜异位症的特征是子宫腔外存在子宫内膜腺体和间质。与子宫内膜异位症相关的最常见主诉是痛经和盆腔疼痛；然而，患者常表现出多种症状，有时也无症状。当出现出血性腹水时，子宫内膜异位症酷似卵巢恶性肿瘤。保守药物治疗是一种可行的管理选择，尤其对于希望保留生育能力的年轻患者。本文旨在介绍子宫内膜异位症一种极其罕见的表现形式——出血性腹水，并对相关文献进行综述。
