Ascitis y neumotórax secundarios a endometriosis

BACKGROUND: Endometriosis affects 10-20% of women of childbearing age. Although it is almost always confined to the pelvis, it can also affect extra-pelvic tissues, which represent 9% of all cases. It is a chronic disease, with severe and disabling symptoms. Its treatment is a challenge for the gynecologist, even more so in women who wish to preserve their fertility. CLINICAL CASE: 35 year old patient with ascites and recurrent catamenial pneumo- thorax on three times that required the association of medical and surgical treatment to control the symptoms. CONCLUSIONS: Extrapelvic endometriosis, although exceptional, is a condition that affects the quality of life of patients. It requires appropriate and individualized treatment according to each case, in a context of multidisciplinary care. New therapies are currently being investigated that not only treat the symptoms, but also cure the disease without the need for bilateral oophorectomy, especially in those patients with reproductive desire.