rare presentation of endometriosis with recurrent massive hemorrhagic ascites which can mislead

Endometriosis is an estrogen dependent disease where active endometrial tissue is present in extra uterine sites. Presence of recurrent massive hemorrhagic ascites due to endometriosis is a rare phenomenon which can mislead physicians to other pathological conditions like malignancy and wrong treatment protocol may be applied. For confirming the cause of this huge bloody ascites laparoscopy or laparotomy followed by biopsy is significantly essential