Introduction: The presence of endometrial tissue in airways, pleura and lung parenchyma is called thoracic endometriosis syndrome (TES). It is a rare pathology, and typically consists of catamenial pneumothorax, haemothorax, haemoptysis, and pulmonary nodules. We report a case of a 36-year-old woman with thoracic endometriosis causing catamenial haemothorax.
Conclusions: The diagnosis of thoracic endometriosis is complicated and often delayed. TES should be suspected in a reproductive age woman with exacerbating symptoms during the menstruation. Treatment may be medical and surgical.
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| http://dx.doi.org/10.1016/j.ijscr.2017.02.052 | DOI Listing |
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Article Synopsis
- A 46-year-old woman on low-dose estrogen-progestin therapy for endometriosis developed a right-sided pneumothorax, which is a collapsed lung.
- Surgical investigation revealed a pulmonary bulla and a small diaphragm defect, leading to the discovery of endometrial tissue in the lung, thus diagnosing thoracic endometriosis.
- This case highlights that catamenial pneumothorax can still happen in patients receiving hormonal treatment for endometriosis, indicating the need for ongoing awareness among clinicians.
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