A healthy young woman with massive hemorrhagic ascites

Retrograde menstruation is the backward movement of menstrual fluids. The underlying mechanisms remain unknown. The converse current itself is benign, but the result can be abdominal pain caused by peritoneal irritation and, eventually, endometriosis. The case was of a 25-year-old woman with lower a...

Full description

Saved in:
Bibliographic Details
Published in:The American journal of emergency medicine 2015-12, Vol.33 (12), p.1841.e1-1841.e2
Main Authors: Kishino, Fumiaki, MD, Inokuchi, Ryota, MD, PhD, Komaru, Yohei, MD, Takaya, Nobuhiro, MD, Yamamoto, Miyuki, MD, Nakajima, Susumu, MD, PhD, Yahagi, Naoki, MD, PhD
Format: Article
Language:English
Subjects:
Abdomen
Abdominal Pain - diagnosis
Abdominal Pain - etiology
Adult
Blood
Blood pressure
Cysts
Diagnosis, Differential
Emergency
Emergency medical care
Endometriosis
Female
Hemoperitoneum - diagnosis
Hemoperitoneum - etiology
Humans
Inflammatory diseases
Medical History Taking
Menstruation
Menstruation Disturbances - complications
Menstruation Disturbances - diagnosis
Reproductive system
Tomography
Tomography, X-Ray Computed
Ultrasonic imaging
Ultrasonography
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Retrograde menstruation is the backward movement of menstrual fluids. The underlying mechanisms remain unknown. The converse current itself is benign, but the result can be abdominal pain caused by peritoneal irritation and, eventually, endometriosis. The case was of a 25-year-old woman with lower abdominal pain accompanied by significant hemoperitoneum. Physical examination and inspection using abdominal ultrasonography and computed tomography failed to reveal a differential diagnosis. Detailed history taking revealed sexual activities during her menstrual period, which allowed for a diagnosis of retrograde menstruation. These findings emphasize the importance of extensive history taking.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2015.04.039