A Case of Hemothorax as Manifestation of Thoracic Endometrial Syndrome

Sandra Patrucco Reyes, Kwesi Amoah, Mandeep Singh Rahi, Kulothungan Gunasekaran
Journal of investigative medicine high impact case reports · 2021 · vol. 9 , pp. 23247096211052191 · doi:10.1177/23247096211052191 · PMID:34866438 · W4225635240
article OA: gold CC0 ⤵ 2 in-corpus citations
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Abstract

Thoracic endometriosis is a rare progression of a mostly benign disease of ectopic endometrial activity involving the pleura and lung. This is a case of a young female who presented with progressive shortness of breath and was found to have significant anemia. Further investigations showed a massive right-sided pleural effusion and ascites. Subsequent thoracentesis and pelvic diagnostic laparoscopy showed a hemorrhagic pleural effusion and ascites, along with dense pelvic adhesions. Pathology was consistent with endometriosis. Patient improved on leuprolide acetate and norethindrone. This case illustrates an important consideration in the differential of a reproductive-age female with new onset shortness of breath and anemia.

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Condition tags

endometriosisthoracic_endometriosis

MeSH descriptors

Hemothorax Hemothorax Pleural Effusion Pleural Effusion Dyspnea Dyspnea Female Humans

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