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

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 Pub...

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Main Authors: Thais Fontes de Magalhães, Kathiane Lustosa Augusto, Livia Ponte Mota, Arthur Ribeiro da Costa, Rainardo Antonio Puster, Leonardo Robson Pinheiro Sobreira Bezerra
Format: Article
Language:English
Published: Federação Brasileira das Sociedades de Ginecologia e Obstetrícia 2018-03-01
Series:Revista Brasileira de Ginecologia e Obstetrícia
Subjects:
Online Access:http://www.scielo.br/pdf/rbgo/v40n3/0100-7203-rbgo-40-03-00147.pdf
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author Thais Fontes de Magalhães
Kathiane Lustosa Augusto
Livia Ponte Mota
Arthur Ribeiro da Costa
Rainardo Antonio Puster
Leonardo Robson Pinheiro Sobreira Bezerra
author_facet Thais Fontes de Magalhães
Kathiane Lustosa Augusto
Livia Ponte Mota
Arthur Ribeiro da Costa
Rainardo Antonio Puster
Leonardo Robson Pinheiro Sobreira Bezerra
author_sort Thais Fontes de Magalhães
collection DOAJ
description 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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spelling doaj.art-60105cd0ea4048c09bc32d2d1a9232ee2022-12-21T17:22:21ZengFederação Brasileira das Sociedades de Ginecologia e ObstetríciaRevista Brasileira de Ginecologia e Obstetrícia0100-72032018-03-0140314715510.1055/s-0038-1626700Ascites and Encapsulating Peritonitis in Endometriosis: a Systematic Review with a Case ReportThais Fontes de MagalhãesKathiane Lustosa AugustoLivia Ponte MotaArthur Ribeiro da CostaRainardo Antonio PusterLeonardo Robson Pinheiro Sobreira BezerraAbstract 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.http://www.scielo.br/pdf/rbgo/v40n3/0100-7203-rbgo-40-03-00147.pdfendometriosisascitesperitonitissystematic reviewtreatment
spellingShingle Thais Fontes de Magalhães
Kathiane Lustosa Augusto
Livia Ponte Mota
Arthur Ribeiro da Costa
Rainardo Antonio Puster
Leonardo Robson Pinheiro Sobreira Bezerra
Ascites and Encapsulating Peritonitis in Endometriosis: a Systematic Review with a Case Report
Revista Brasileira de Ginecologia e Obstetrícia
endometriosis
ascites
peritonitis
systematic review
treatment
title Ascites and Encapsulating Peritonitis in Endometriosis: a Systematic Review with a Case Report
title_full Ascites and Encapsulating Peritonitis in Endometriosis: a Systematic Review with a Case Report
title_fullStr Ascites and Encapsulating Peritonitis in Endometriosis: a Systematic Review with a Case Report
title_full_unstemmed Ascites and Encapsulating Peritonitis in Endometriosis: a Systematic Review with a Case Report
title_short Ascites and Encapsulating Peritonitis in Endometriosis: a Systematic Review with a Case Report
title_sort ascites and encapsulating peritonitis in endometriosis a systematic review with a case report
topic endometriosis
ascites
peritonitis
systematic review
treatment
url http://www.scielo.br/pdf/rbgo/v40n3/0100-7203-rbgo-40-03-00147.pdf
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