A Rare Case of Cyclical Hemothorax: Thoracic Endometriosis Syndrome

Case Reports in Pulmonology
Muhammad Shabbir RawalaKristen Helmick

Abstract

Endometriosis is a common condition in which endometrial cells and stroma are deposited in extrauterine sites. Its prevalence has been estimated to be 10% of reproductive age females. It is commonly found in the pelvis; however, it may be found in the abdomen, thorax, brain, or skin. Thoracic involvement is a relatively rare presentation of this common disease. Thoracic endometriosis commonly presents as pneumothorax in 73% of patients. A rarer presentation of thoracic endometriosis is hemothorax (<14%) or hemoptysis (7%). Thoracic endometriosis is an uncommon cause of a pleural effusion. We present a case of 28-year-old African American female with no other medical conditions. She presented to the hospital with worsening right-sided pleuritic chest pain, dyspnea, and menorrhagia. She had been complaining of pleuritic chest pain for 5 years, the onset of which corresponds to the start of her menstrual cycle and is relieved with cessation of menses. Initial laboratory studies revealed a severe microcytic anemia with normal coagulation profile. Chest X-ray showed small right pleural effusion and suspicious for airspace disease. A computed tomography (CT) of chest was ordered for further clarification and identified large right pl...Continue Reading

References

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Citations

Nov 26, 2020·Interactive Cardiovascular and Thoracic Surgery·Ndubueze EzembaCharles O Adiri
Apr 15, 2021·BMJ Case Reports·Seethala ChittemsettiShubha Bhat

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Methods Mentioned

BETA
X-ray
biopsy
surgical resection

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