Ascites and encapsulating peritonitis in endometriosis: a systematic review with a case report

• Autor(a) principal: Magalhães, Thais Fontes de
• Data de Publicação: 2018
• Outros Autores: Augusto, Kathiane Lustosa, Mota, Livia Ponte, Costa, Arthur Ribeiro da, Puster, Rainardo Antonio, Bezerra, Leonardo Robson Pinheiro Sobreira
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da Universidade Federal do Ceará (UFC)
• Texto Completo: http://www.scielo.br/scielo.php?script=sci_serial&pid=0100-7203&lng=pt&nrm=iso http://diadorim.ibict.br/handle/1/132; http://www.repositorio.ufc.br/handle/riufc/31646
• topic: Endometriose; Endometriosis; Ascites; Ascite

Endometriosis can have several different presentations, including overt ascites and peritonitis; increased awareness can improve diagnostic accuracy and patient outcomes. We aim to 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 signi fi cant ascites and/or frozen abdomen and/or encapsulating peritonitis were included; thosewithpotentiallyconfoundingconditionswere excluded.Oursearchyielded37articles 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, dyspar- eunia 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