Endometriosis inflammation mimicking pseudomyxoma peritonei
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A 25-year old nulliparous female presented to her primary care physician with three months of diffuse abdominal pain and a 30-pound weight gain. Her medical history was significant for migraines, depression, and idiopathic hemolytic anemia requiring transfusion in 2011. Family history was significant for a brother with leukemia. She had normal menstrual cycles, no dyspareunia or dysmenorrhea, and no change in bowel habits.She did later endorse occasional abdominal pain and brief, monthly episodes of epistaxis.On exam, her abdomen was protuberant with a positive fluid wave. Pelvic exam was limited by ascites but revealed a mobile, non-tender cervix without nodularity, a normal-sized, anteverted uterus, and no palpable pelvic masses. A urine pregnancy test was negative. CT scan revealed multi-loculated, multi-septated, low attenuation fluid filling the abdomen and pelvis and a 4.5 × 6.7 × 6 cm left adnexal mass. The patient was referred to a gynecologic oncologist for further management....

http://www.sciencedirect.com/science/article/pii/S2214911216300364
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