Dienogest Was Effective in Treating Hemorrhagic Ascites Caused by Endometriosis: A Case Report
Abstract Hemorrhagic ascites caused by endometriosis is extremely rare, and its treatment is under discussion. We report a case of recurrent endometriosis-related ascites treated with dienogest (DNG). A 35-year-old nulliparous Japanese woman with a history of infertility presented with worsening dys...
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| Veröffentlicht in: | Journal of minimally invasive gynecology 2014-11, Vol.21 (6), p.1110-1112 |
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| container_title | Journal of minimally invasive gynecology |
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| creator | Asano, Ryoko, MD Nakazawa, Tsuneo, MD, PhD Hirahara, Fumiki, MD, PhD Sakakibara, Hideya, MD, PhD |
| description | Abstract Hemorrhagic ascites caused by endometriosis is extremely rare, and its treatment is under discussion. We report a case of recurrent endometriosis-related ascites treated with dienogest (DNG). A 35-year-old nulliparous Japanese woman with a history of infertility presented with worsening dysmenorrhea and abdominal distention caused by massive ascites. The patient underwent exploratory laparotomy, and hemorrhagic ascites (5500 mL) was drained. She had a normal-sized uterus, and the bilateral ovaries could not be observed because of extensive adhesion in the abdominal cavity. Endometriosis was diagnosed by histopathological evaluation of the omental biopsy, and this was considered to be the cause of ascites. After laparotomy, she had recurrence of ascites. For the next 8 years, the patient was treated conservatively with gonadotropin-releasing hormone agonist therapy and drainage during the intermittent periods followed by DNG administration. She has been treated continuously with DNG for 1 year with no recurrence of ascites. DNG could be an effective treatment for recurrent ascites associated with endometriosis, especially when surgical therapy is undesirable. |
| doi_str_mv | 10.1016/j.jmig.2014.04.014 |
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We report a case of recurrent endometriosis-related ascites treated with dienogest (DNG). A 35-year-old nulliparous Japanese woman with a history of infertility presented with worsening dysmenorrhea and abdominal distention caused by massive ascites. The patient underwent exploratory laparotomy, and hemorrhagic ascites (5500 mL) was drained. She had a normal-sized uterus, and the bilateral ovaries could not be observed because of extensive adhesion in the abdominal cavity. Endometriosis was diagnosed by histopathological evaluation of the omental biopsy, and this was considered to be the cause of ascites. After laparotomy, she had recurrence of ascites. For the next 8 years, the patient was treated conservatively with gonadotropin-releasing hormone agonist therapy and drainage during the intermittent periods followed by DNG administration. She has been treated continuously with DNG for 1 year with no recurrence of ascites. DNG could be an effective treatment for recurrent ascites associated with endometriosis, especially when surgical therapy is undesirable.</description><identifier>ISSN: 1553-4650</identifier><identifier>EISSN: 1553-4669</identifier><identifier>DOI: 10.1016/j.jmig.2014.04.014</identifier><identifier>PMID: 24780384</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Ascites ; Ascites - drug therapy ; Ascites - etiology ; Dienogest ; Drainage - adverse effects ; Dysmenorrhea - drug therapy ; Dysmenorrhea - etiology ; Endometriosis ; Endometriosis - complications ; Female ; Gonadotropin-Releasing Hormone - agonists ; Humans ; Infertility, Female - drug therapy ; Infertility, Female - etiology ; Nandrolone - analogs & derivatives ; Nandrolone - therapeutic use ; Obstetrics and Gynecology ; Recurrence ; Surgery ; Treatment Outcome ; Uterine Hemorrhage - drug therapy ; Uterine Hemorrhage - etiology</subject><ispartof>Journal of minimally invasive gynecology, 2014-11, Vol.21 (6), p.1110-1112</ispartof><rights>AAGL</rights><rights>2014 AAGL</rights><rights>Copyright © 2014 AAGL. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c411t-e081334e5c455821f756eff3eed3125a95aac0eb08b6bceb76578fd9945b21083</citedby><cites>FETCH-LOGICAL-c411t-e081334e5c455821f756eff3eed3125a95aac0eb08b6bceb76578fd9945b21083</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jmig.2014.04.014$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,45974</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24780384$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Asano, Ryoko, MD</creatorcontrib><creatorcontrib>Nakazawa, Tsuneo, MD, PhD</creatorcontrib><creatorcontrib>Hirahara, Fumiki, MD, PhD</creatorcontrib><creatorcontrib>Sakakibara, Hideya, MD, PhD</creatorcontrib><title>Dienogest Was Effective in Treating Hemorrhagic Ascites Caused by Endometriosis: A Case Report</title><title>Journal of minimally invasive gynecology</title><addtitle>J Minim Invasive Gynecol</addtitle><description>Abstract Hemorrhagic ascites caused by endometriosis is extremely rare, and its treatment is under discussion. We report a case of recurrent endometriosis-related ascites treated with dienogest (DNG). A 35-year-old nulliparous Japanese woman with a history of infertility presented with worsening dysmenorrhea and abdominal distention caused by massive ascites. The patient underwent exploratory laparotomy, and hemorrhagic ascites (5500 mL) was drained. She had a normal-sized uterus, and the bilateral ovaries could not be observed because of extensive adhesion in the abdominal cavity. Endometriosis was diagnosed by histopathological evaluation of the omental biopsy, and this was considered to be the cause of ascites. After laparotomy, she had recurrence of ascites. For the next 8 years, the patient was treated conservatively with gonadotropin-releasing hormone agonist therapy and drainage during the intermittent periods followed by DNG administration. She has been treated continuously with DNG for 1 year with no recurrence of ascites. DNG could be an effective treatment for recurrent ascites associated with endometriosis, especially when surgical therapy is undesirable.</description><subject>Adult</subject><subject>Ascites</subject><subject>Ascites - drug therapy</subject><subject>Ascites - etiology</subject><subject>Dienogest</subject><subject>Drainage - adverse effects</subject><subject>Dysmenorrhea - drug therapy</subject><subject>Dysmenorrhea - etiology</subject><subject>Endometriosis</subject><subject>Endometriosis - complications</subject><subject>Female</subject><subject>Gonadotropin-Releasing Hormone - agonists</subject><subject>Humans</subject><subject>Infertility, Female - drug therapy</subject><subject>Infertility, Female - etiology</subject><subject>Nandrolone - analogs & derivatives</subject><subject>Nandrolone - therapeutic use</subject><subject>Obstetrics and Gynecology</subject><subject>Recurrence</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><subject>Uterine Hemorrhage - drug therapy</subject><subject>Uterine Hemorrhage - etiology</subject><issn>1553-4650</issn><issn>1553-4669</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU-L1EAQxRtR3HX1C3iQPnqZsfpvEhFhGEdXWBB0RU82nU5l7JikZ7uThfn2dpx1Dx6Egiqo9x7Urwh5zmDNgOlX3bob_H7Ngck15GLyATlnSomV1Lp6eD8rOCNPUuoARAGgH5MzLosSRCnPyY93HsewxzTRbzbRXduim_wtUj_S64h28uOeXuIQYvxp997RTXJ-wkS3dk7Y0PpId2MTBpyiD8mn13STVwnpZzyEOD0lj1rbJ3x21y_I1_e76-3l6urTh4_bzdXKScamFULJhJConFSq5KwtlMa2FYiNYFzZSlnrAGsoa107rAutirJtqkqqmjMoxQV5eco9xHAz52vM4JPDvrcjhjkZpnlVFbpgMkv5SepiSCliaw7RDzYeDQOzcDWdWbiahauBXH9ML-7y53rA5t7yF2QWvDkJMF956zGazAlHh42Pmahpgv9__tt_7K73o3e2_4VHTF2Y45j5GWYSN2C-LJ9dHsskANfwXfwGhiOdtg</recordid><startdate>20141101</startdate><enddate>20141101</enddate><creator>Asano, Ryoko, MD</creator><creator>Nakazawa, Tsuneo, MD, PhD</creator><creator>Hirahara, Fumiki, MD, PhD</creator><creator>Sakakibara, Hideya, MD, PhD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20141101</creationdate><title>Dienogest Was Effective in Treating Hemorrhagic Ascites Caused by Endometriosis: A Case Report</title><author>Asano, Ryoko, MD ; Nakazawa, Tsuneo, MD, PhD ; Hirahara, Fumiki, MD, PhD ; Sakakibara, Hideya, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-e081334e5c455821f756eff3eed3125a95aac0eb08b6bceb76578fd9945b21083</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Ascites</topic><topic>Ascites - drug therapy</topic><topic>Ascites - etiology</topic><topic>Dienogest</topic><topic>Drainage - adverse effects</topic><topic>Dysmenorrhea - drug therapy</topic><topic>Dysmenorrhea - etiology</topic><topic>Endometriosis</topic><topic>Endometriosis - complications</topic><topic>Female</topic><topic>Gonadotropin-Releasing Hormone - agonists</topic><topic>Humans</topic><topic>Infertility, Female - drug therapy</topic><topic>Infertility, Female - etiology</topic><topic>Nandrolone - analogs & derivatives</topic><topic>Nandrolone - therapeutic use</topic><topic>Obstetrics and Gynecology</topic><topic>Recurrence</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><topic>Uterine Hemorrhage - drug therapy</topic><topic>Uterine Hemorrhage - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Asano, Ryoko, MD</creatorcontrib><creatorcontrib>Nakazawa, Tsuneo, MD, PhD</creatorcontrib><creatorcontrib>Hirahara, Fumiki, MD, PhD</creatorcontrib><creatorcontrib>Sakakibara, Hideya, MD, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of minimally invasive gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Asano, Ryoko, MD</au><au>Nakazawa, Tsuneo, MD, PhD</au><au>Hirahara, Fumiki, MD, PhD</au><au>Sakakibara, Hideya, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dienogest Was Effective in Treating Hemorrhagic Ascites Caused by Endometriosis: A Case Report</atitle><jtitle>Journal of minimally invasive gynecology</jtitle><addtitle>J Minim Invasive Gynecol</addtitle><date>2014-11-01</date><risdate>2014</risdate><volume>21</volume><issue>6</issue><spage>1110</spage><epage>1112</epage><pages>1110-1112</pages><issn>1553-4650</issn><eissn>1553-4669</eissn><abstract>Abstract Hemorrhagic ascites caused by endometriosis is extremely rare, and its treatment is under discussion. We report a case of recurrent endometriosis-related ascites treated with dienogest (DNG). A 35-year-old nulliparous Japanese woman with a history of infertility presented with worsening dysmenorrhea and abdominal distention caused by massive ascites. The patient underwent exploratory laparotomy, and hemorrhagic ascites (5500 mL) was drained. She had a normal-sized uterus, and the bilateral ovaries could not be observed because of extensive adhesion in the abdominal cavity. Endometriosis was diagnosed by histopathological evaluation of the omental biopsy, and this was considered to be the cause of ascites. After laparotomy, she had recurrence of ascites. For the next 8 years, the patient was treated conservatively with gonadotropin-releasing hormone agonist therapy and drainage during the intermittent periods followed by DNG administration. She has been treated continuously with DNG for 1 year with no recurrence of ascites. DNG could be an effective treatment for recurrent ascites associated with endometriosis, especially when surgical therapy is undesirable.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>24780384</pmid><doi>10.1016/j.jmig.2014.04.014</doi><tpages>3</tpages></addata></record> |
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| subjects | Adult Ascites Ascites - drug therapy Ascites - etiology Dienogest Drainage - adverse effects Dysmenorrhea - drug therapy Dysmenorrhea - etiology Endometriosis Endometriosis - complications Female Gonadotropin-Releasing Hormone - agonists Humans Infertility, Female - drug therapy Infertility, Female - etiology Nandrolone - analogs & derivatives Nandrolone - therapeutic use Obstetrics and Gynecology Recurrence Surgery Treatment Outcome Uterine Hemorrhage - drug therapy Uterine Hemorrhage - etiology |
| title | Dienogest Was Effective in Treating Hemorrhagic Ascites Caused by Endometriosis: A Case Report |
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