DOI: 10.1136/bcr-2026-274998 ISSN: 1757-790X
Endometriosis presenting as recurrent massive haemorrhagic ascites
Mark Trevor Verryn, Alistair Guy Balleine Broadhurst, Christine Els, Ayanda Trevor Mnguni, Denzil Schietekat, Nawhaal SondayHaemorrhagic ascites (HA) is an uncommon clinical entity commonly caused by cirrhosis, malignancy and iatrogenic intervention. In the absence of these causes, it poses a diagnostic challenge. We present a case of a female with recurrent massive HA with a negative extensive work-up of common causes of HA. Laparoscopically obtained tissue eventually confirmed the diagnosis of endometriosis. This case demonstrates important diagnostic pitfalls in HA and highlights consideration of rarer causes.