Muneyyirci-Delale O, Neil G, Serur E, Gordon D, Maiman M, Sedlis A
Department of Obstetrics and Gynecology, Radiology, State University of New York Health Science Center at Brooklyn, 11203, USA.
Gynecol Oncol. 1998 Apr;69(1):42-6. doi: 10.1006/gyno.1998.4953.
We present 4 cases of endometriosis complicated by massive ascites from our institution and a review of 27 cases from the literature. In most of these patients, the presence of ascites with its related symptoms in association with pelvic masses suggested a neoplastic disease. However, a large proportion of these women had also classical manifestations of endometriosis, e.g., dysmenorrhea, cul-de-sac nodularities, and exacerbation of ascites and other symptoms during the menses. The response to hormonal therapy including GnRH agonists was often unsatisfactory. Repeat recurrences and severe complications required multiple laparotomies and thoracotomies for associated pleural and pulmonary involvement.
我们报告了本院4例子宫内膜异位症合并大量腹水的病例，并对文献中的27例病例进行了回顾。在这些患者中，大多数伴有腹水及其相关症状并伴有盆腔肿块，提示为肿瘤性疾病。然而，这些女性中有很大一部分也有子宫内膜异位症的典型表现，例如痛经、直肠子宫陷凹结节，以及月经期腹水和其他症状加重。包括GnRH激动剂在内的激素治疗反应往往不尽人意。反复复发和严重并发症需要多次剖腹手术和开胸手术来处理相关的胸膜和肺部受累情况。
