1565 Laparoscopic Management of Endometriosis Presenting with Massive Recurrent Hemoperitoneum

Autor:	AM Gonzalez, A Quiñonez, Jose Carugno, S. Artazcoz, Hannah Palin, Douglas Timmons, F Elorriaga
Rok vydání:	2019
Předmět:	medicine.medical_specialty Pelvic endometriosis business.industry General surgery Endometriosis Obstetrics and Gynecology Level iv Diagnostic laparoscopy medicine.disease medicine Hemoperitoneum University teaching Differential diagnosis medicine.symptom Ovarian cancer business
Zdroj:	Journal of Minimally Invasive Gynecology. 26:S167
ISSN:	1553-4650
DOI:	10.1016/j.jmig.2019.09.298
Popis:	Video Objective To describe the clinical characteristics and laparoscopic findings of a patient with endometriosis presenting with hemorrhagic ascites. Setting University teaching academic level IV hospital. Interventions Diagnostic laparoscopy, drainage of hemoperitoneum and multiple peritoneal biopsy. The medical management of this rare condition is also discussed. Conclusion Endometriosis should be a differential diagnosis in women of reproductive age presenting with massive hemorrhagic ascites. Diagnostic laparoscopy with drainage of hemoperitoneum is a feasible option to obtain a pathology confirmed diagnosis of patients presenting with hemoperitoneum secondary to pelvic endometriosis. Awareness of this condition will prevent unnecessary aggressive resection commonly performed when confused with ovarian cancer.
Databáze:	OpenAIRE
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