Non-malignant ascites in a rare, but clinically important, presentation of endometriosis. This video presents an approach to the management of endometriosis-associated ascites. We demonstrate two contrasting case presentations, and describe diagnostic, medical and surgical management considerations in this patient population.
We propose a step-wise approach to the diagnosis and initial management of endometriosis-associated ascites for clinical application.
This algorithm includes pertinent history, investigations including paracentesis and imaging, fertility considerations and targeted surgical management goals to ensure optimal patient care.