Endometriosis is a common condition that occurs in 6-10% of all reproductive age women. This number increases to approximately 40% in women with infertility and nearly 75% in women with complaints of chronic pelvic pain. Endometriosis is characterized by the presence of endometrial glands and stroma outside the uterine cavity. The most common complaints associated with endometriosis are dysmeno...

Endometriosis is defined by the presence of ectopic endometrial tissue outside the uterine cavity. Despite being a lead cause of chronic pelvic pain and infertility, its clinical presentation can vary, leading to diagnostic and therapeutic challenges. Extra-pelvic endometriosis is particularly difficult to diagnose owing to its ability to mimic other conditions. Endometrial tissue in a surgical...

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 Ex...

A case of unilateral giant hydronephrosis containing about 20 litres of old haemorrhagic fluid, clinically simulating massive ascites, is reported. The role of preceding abdominal trauma in the pathogenesis and the rapidity of the disease process is discussed.

A 30-year-old woman presented with a four-week history of abdominal swelling. She had a long history of hormonal treatment for infertility but pregnancy test was negative. On ultrasound she was seen to have a large volume of ascites which was found to be haemorrhagic on insertion of an ascitic drain. Ascitic fluid cytology, culture and tuberculosis PCR were negative. An MRI pelvis confirmed lar...

An 11-year old girl, who had undergone left oophorec­ tomy 2 years previously, was admitted to hospital with abdominal pain and fever of 2 days' duration. She had attained menarche 3 months previously. An abdominal mass with ascites detected on examination corresponded to a massive haemorrhagic right ovarian mass at surgery. Abdominal hysterectomy, right salpingo-oophorectomy and omentectomy we...