Endometriosis is a complex disease commonly encountered by gynecologists. We report the case of an otherwise healthy young nullipara who presented with massive ascites, pleural effusion and shortness of breath and was subsequently diagnosed with endometriosis. This case demonstrates that, with a careful history, physical examination and appropriate tests, patients may be effectively treated with minimally invasive procedures and gonadotropin-releasing hormone (GnRH) agonists, and avoid major emergency surgery.
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