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This is in fact continuation of the inflammatory bowel disease with cases which usually occur in young patients.
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Endometriosis should also be considered in Differentials in young female patients . The cause can be ruptured endometriotic cyst which i suppose can be secondary to enlarged size or a possible blunt trauma.
A young female patient with lower abdominal pain and free fluid---Endometriosis is another possibility which should be kept in differentials--- A ruptured chocolate cyst.
Clinical correlation with menstrual history, radiological investigations and CA-125 levels would be helpful.

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