Thoracic endometriosis: an unusual cause of hemothorax.
In this report we describe the clinical presentation, diagnosis, treatment and outcome of a 45-year-old woman with thoracic endometriosis. Four clinical presentations have been described. The majority have presented with catamenial pneumothorax, followed by hemothorax, hemoptysis and lung nodules. Our patient presented with right-sided hemothorax and lung nodules. Video-assisted thoracoscopic aurgery confirmed the presence of endometrial tissue embedded in the diaphragmatic pleura. Talc pleurodesis alongwith atotal abdominal hysterectomy and bilateral salpingo-oophorectomy led to a clinical and radiological resolution.
El Ghazal
Roland
R
Department of Medicine, Hospital of Saint Raphael, New Haven, USA.
Fabian
Thomas
T
Ahmed
Zareen A
ZA
Moritz
Ernest D
ED
D004322:Drainage; D004715:Endometriosis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006491:Hemothorax / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008875:Middle Aged; D010994:Pleura / Q000473:pathology; D011241:Prednisone / Q000627:therapeutic use; D013896:Thoracic Diseases / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D020775:Thoracic Surgery, Video-Assisted
D005938:Glucocorticoids; D011241:Prednisone