https://doi.org/10.4081/monaldi.2022.2401

Thoracic endometriosis presenting as hemopneumothorax

Vol. 93 No. 3 (2023)
Submitted: August 9, 2022
Accepted: September 23, 2022
Published: September 28, 2022
Women health, endometriosis, pleural effusion, pneumothorax, pleural diseases
Abstract Views: 980
PDF: 220
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Authors

Ahel El Haj Chehade
ahel.chehade@gmail.com
https://orcid.org/0000-0002-6932-2388
Department of Pulmonary, Critical Care and Sleep Medicine, the University of Oklahoma Health and Sciences Center, Oklahoma City, OK, United States.
Ahmad Basil Nasir
https://orcid.org/0000-0003-1588-303X
Department of Internal Medicine and Pediatrics, the University of Oklahoma Health and Sciences Center, Oklahoma City, OK, United States.
Jo Elle G. Peterson
Department of Pathology, the University of Oklahoma Health and Sciences Center, Oklahoma City, OK, United States.
Timothy Ramseyer
Department of Pathology, the University of Oklahoma Health and Sciences Center, Oklahoma City, OK, United States.
Himanshu Bhardwaj
Department of Pulmonary, Critical Care and Sleep Medicine, the University of Oklahoma Health and Sciences Center, Oklahoma City, OK, United States.

 

Thoracic endometriosis is very rare. Usually, the thorax is the most frequent affected site outside the pelvis. Common symptoms include chest pain, dyspnea, and hemoptysis. Common manifestations include pneumothorax, hemothorax, and pulmonary or pleural nodules. In addition, symptoms and manifestations can be “catamenial” happening a few days after menstruation onset. This disease can be debilitating, causing a significant impact on the quality of life of young women. We present a case of a young female who was referred to our hospital with recurrent right-sided pleural effusions and pneumothoraces. Pleural fluid drainage was consistent with hemothorax. Transvaginal ultrasound showed mild intraperitoneal fluid in the Cul-de-Sac. Due to concerns for thoracic endometriosis, video-assisted thoracoscopic surgery was performed confirming the diagnosis by pathology. Therapeutic pleurectomy with diaphragmatic repair and pleurodesis was performed. The patient was started on medroxyprogesterone acetate injections two weeks after with great clinical response.

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How to Cite

El Haj Chehade, Ahel, Ahmad Basil Nasir, Jo Elle G. Peterson, Timothy Ramseyer, and Himanshu Bhardwaj. 2022. “Thoracic Endometriosis Presenting As Hemopneumothorax”. Monaldi Archives for Chest Disease 93 (3). https://doi.org/10.4081/monaldi.2022.2401.
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