Massive pleural endometriosis.
We present a patient who was referred to our thoracic surgical service with a massive, loculated right pleural effusion accompanied by significant ascites. Thoracotomy and decortication were required and pleural biopsy led to a diagnosis of endometriosis. Aggressive medical therapy was subsequently initiated but hysterectomy with bilateral oophorectomy was required due to poor symptom control and the inability to rule out a neoplastic process. There are less than 15 reported cases of endometriosis presenting with both pleural effusion and ascites. Thoracic surgeons presented with such a scenario should be cognizant of this pathological entity.
Moffatt
S D
SD
Department of Cardiothoracic Surgery, Stanford University, Stanford, CA, USA.
Mitchell
John D
JD
D000328:Adult; D001201:Ascites / Q000209:etiology*; D004715:Endometriosis / Q000150:complications* / Q000601:surgery; D005260:Female; D006801:Humans; D010996:Pleural Effusion / Q000209:etiology*