Endometriosis-associated massive ascites in a young Nigerian lady

Endometriosis-associated massive haemorrhagic ascites is rare and poses a diagnostic challenge to the gynaecologist due its resemblance malignancies, especially ovarian malignancy. We report 31-year-old nulligravida with progressive abdominal swelling, worsening dysmenorrhea, weight loss family history of tumour. Pelvic ultrasonography Computed Tomography scans suggested an mass suspected be Exploratory laparotomy revealed (8.6 litre) multiple nodular masses on anterior wall, omentum, bowel pelvic organs, which were biopsied confirmed histopathology endometriosis. She had drainage hormonal suppression using progestogen (Medroxyprogesterone acetate) no recurrence in 15 months. Endometriosis should considered young, nulligravid women ascites.