An Atypical Presentation of A Case of Endometriosis

N Yusuf, MA Haque, MH Rahman, MA Ali
In: TAJ: Journal of Teachers Association · 2011 · vol. 19(1) , pp. 27–30 · doi:10.3329/taj.v19i1.3165 · W1879107506
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This case report describes a 28-year-old infertile woman with catamenial hemothorax presenting as bloody pleural effusion, who was successfully treated with continuous low-dose oral contraceptives.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This paper reports a single case of pleural (pulmonary) endometriosis in a 28-year-old infertile woman who developed catamenial haemothorax occurring in the first 3 days of menstruation over 3 months, with associated right shoulder pain and progressive shortness of breath. The authors note that bloody pleural effusion has a broad differential and that histopathological confirmation can be difficult because the bleeding site may not be easily located. They describe a presumptive diagnosis based on the typical clinical pattern and report treatment with a continuous low-dose oral contraceptive pill. No recurrent haemothorax was observed during 9 months of follow-up. This paper is centrally about endometriosis — specifically an atypical presentation as catamenial haemothorax due to pleural endometriosis.

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Abstract

Bloody pleural effusion may be a clinical complication of many diseases like malignancy, trauma, pulmonary infarction, ovarian pathology, certain infections etc. Rarely pulmonary, endometriosis can present with haemothorax & pose a diagnostic problem to clinicians. Histopathological confirmation is difficult, since bleeding site is not easy to locate. However, a presumptive diagnosis of pulmonary endometriosis can be made with a typical clinical history. We report a case of pleural endometriosis in a 28 years infertile lady presented with catamenial haemothorax occurring in the first 3 days of menstruation over a 3 months period associated with right shoulder pain & progressive shortness of breath for last 6 years. She was treated with continuous low dose oral contraceptive pill & there was no evidence of recurrent haemothorax during 9 months of follow up period. doi: 10.3329/taj.v19i1.3165 TAJ 2006; 19(1): 27-30
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An Atypical Presentation of A Case of Endometriosis DOI: https://doi.org/10.3329/taj.v19i1.3165Keywords: EndometriosisAbstract Bloody pleural effusion may be a clinical complication of many diseases like malignancy, trauma, pulmonary infarction, ovarian pathology, certain infections etc. Rarely pulmonary, endometriosis can present with haemothorax & pose a diagnostic problem to clinicians. Histopathological confirmation is difficult, since bleeding site is not easy to locate. However, a presumptive diagnosis of pulmonary endometriosis can be made with a typical clinical history. We report a case of pleural endometriosis in a 28 years infertile lady presented with catamenial haemothorax occurring in the first 3 days of menstruation over a 3 months period associated with right shoulder pain & progressive shortness of breath for last 6 years. She was treated with continuous low dose oral contraceptive pill & there was no evidence of recurrent haemothorax during 9 months of follow up period. doi: 10.3329/taj.v19i1.3165 TAJ 2006; 19(1): 27-30 Downloads 263 411

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endometriosis

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