ABDOMINAL COCOON AND RECURRENT HEMORRHAGIC ASCITES, UNEXPECTED FINDINGS IN ENDOMETRIOSIS: A CASE REPORT

Rationale: The presentation of endometriosis as massive hemorrhagic ascites is rare in the literature, and the presence of concurrent encapsulating sclerosing peritonitis is extremely rare in the medical literature.Patient concerns: The case of a 22-year-old woman presenting with nonspecific abdominal discomfort, distension, massive ascites, encapsulating peritonitis, dysmenorrhea, anemia, and mild weight loss is reported here.Diagnosis: Based on biopsy results at laparotomy, negative Tuberculosis cultures, a poor response to the anti-tuberculosis therapy, and finally, an excellent response to Combined Oral Contraceptive pills, endometriosis was confirmed as the diagnosis of exclusion in this case. Interventions and outcomes:The patient received medical treatment for endometriosis and had an excellent response to treatment. Methods:We conducted a thorough literature review on PubMed/MEDLINE, Cochrane, and Science Direct and shortlisted 13 highly relevant articles for the case report.Lessons: This is one of the few cases reported in the literature in which endometriosispresented with hemorrhagic ascites and sclerosing peritonitis.Endometriosis should be considered a differential diagnosis in a nulliparous, reproductive-age female who presents with massive recurrent hemorrhagic ascites.