Unusual cause of haemoperitoneum managed laparoscopically


A 33 year female from Angola, Africa presented to Indraprastha Apollo Hospital with a 2 month history of progressive painless distension of the abdomen. Prior to presentation she had been diagnosed to have ascites (fluid in the abdomen) at another hospital. On two occasions 1 to 1.5 liters fluid had been removed from the abdomen which she described to he deep red in colour.

Evaluation at our hospital revealed the presence of large  volume ascites which was possibly related to Endometriosis suspected on MRI scan. She was planned for diagnostic laparoscopy which confirmed the haemorrhagicascites to be a result of oozing from one of the endometriotic nodules on the surface of the uterus. The bleeding was stopped successfully by laparoscopic cauterization.

Post operatively the patient did well and there has been no recurrence of ascites after starting medical treatment for endometriosis.



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