Massive ascites secondary to severe endometriosis

Massive ascites is an unusual association with endometriosis. This case rep ort is of such a condition in an Afro-Jamaican woman. The diagnosis was mad e at laparotomy and conservative treatment was adopted allowing for retenti on of reproductive function. Postoperative therapy was Goserelin, a Gonadot ropin Releasing Hormone (GnRH) agonist, for six months. This relieved all o f her symptoms. However, long term follow-up is needed, as recurrence is po ssible.