caa a22 4500 445307358 CHVBK 20180317142617.0 cr unu---uuuuu 170323e20110301xx s 000 0 eng 10.1007/s00404-010-1664-1 doi (NATIONALLICENCE)springer-10.1007/s00404-010-1664-1 A systematic review: endometriosis presenting with ascites [Elektronische Daten] [Tayfun Gungor, Mine Kanat-Pektas, Mustafa Ozat, Mujdegul Zayifoglu Karaca] Background: The present review aims to increase the awareness of the gynecologists by analyzing all the case reports which refer to endometriosis presenting either with only ascites or with massive ascites with pleural effusion. Methods: To conduct the present review, the CENTRAL (in the Cochrane Library, current issue), MEDLINE (Silver Platter, from 1950 to 2010), and EMBASE (from 1950 to 2010) electronic databases were searched. As a result, all the publications based on the keywords relating to the review topic were acquired. Results: Since the description of first case in 1954, endometriosis-related ascites was reported to occur in a total of 63 women who were aged between 19 and 51years. Approximately 63.0% of the recruited women for whom ethnicity was specified were of African origin (29 out of 46). Of the 50 subjects with known obstetric history, 41 (82.0%) were nulliparous. Abdominal distention, anorexia/weight loss, abdominal pain, and menometrorrhagia were the most frequently encountered clinical symptoms, whereas pelvic mass was the most common physical finding. The serum concentrations of CA 125 were between 20 and 3,504IU/ml for 19 women whose CA 125 levels were determined. Pleural effusion was also present in 38.1% of the reviewed subjects (24 out of 63). The clinical features of the women with endometriosis-related ascites and pleural effusion were similar to those of the women who had only endometriosis-related ascites. Conclusion: Endometriosis-related ascites and/or pleural effusion refers to extensive disease with a high risk for recurrence which usually affects non-Caucasian, nulliparous women of reproductive age and leads to clinical symptoms resembling those of an ovarian malignancy. Therefore, clinicians should consider endometriosis in differential diagnosis of pelvic masses and also include endometriosis in diagnostic workup of ascites or pleural effusion. Springer-Verlag, 2010 Ascites nationallicence Endometriosis nationallicence Pleural effusion nationallicence Gungor Tayfun Department of Gynecology, Dr. Zekai Tahir Burak Women Health Research and Education Hospital, Ankara, Turkey aut Kanat-Pektas Mine Department of Obstetrics and Gynecology, Etlik Ihtisas Research and Education Hospital, Yunus Emre Mah, Dereboyu Sok. No: 71/2 Yenimahalle, 06170, Ankara, Turkey aut Ozat Mustafa Department of Gynecology, Dr. Zekai Tahir Burak Women Health Research and Education Hospital, Ankara, Turkey aut Zayifoglu Karaca Mujdegul Department of Gynecology, Dr. Zekai Tahir Burak Women Health Research and Education Hospital, Ankara, Turkey aut Archives of Gynecology and Obstetrics Springer-Verlag 283/3(2011-03-01), 513-518 0932-0067 283:3<513 2011 283 404 https://doi.org/10.1007/s00404-010-1664-1 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1664-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Gungor Tayfun Department of Gynecology, Dr. Zekai Tahir Burak Women Health Research and Education Hospital, Ankara, Turkey aut NATIONALLICENCE 700 1- Kanat-Pektas Mine Department of Obstetrics and Gynecology, Etlik Ihtisas Research and Education Hospital, Yunus Emre Mah, Dereboyu Sok. No: 71/2 Yenimahalle, 06170, Ankara, Turkey aut NATIONALLICENCE 700 1- Ozat Mustafa Department of Gynecology, Dr. Zekai Tahir Burak Women Health Research and Education Hospital, Ankara, Turkey aut NATIONALLICENCE 700 1- Zayifoglu Karaca Mujdegul Department of Gynecology, Dr. Zekai Tahir Burak Women Health Research and Education Hospital, Ankara, Turkey aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 283/3(2011-03-01), 513-518 0932-0067 283:3<513 2011 283 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer