Thoracic endometriosis presenting as hemopneumothorax

Submitted: August 9, 2022
Accepted: September 23, 2022
Published: September 28, 2022
Abstract Views: 1040
PDF: 251
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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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Citations

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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.