A Case of Hemothorax as Manifestation of Thoracic Endometrial Syndrome

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...

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Bibliographic Details
Published in:JIM - high impact case reports 2021-12, Vol.9, p.23247096211052191-23247096211052191
Main Authors: Patrucco Reyes, Sandra, Amoah, Kwesi, Rahi, Mandeep Singh, Gunasekaran, Kulothungan
Format: Article
Language:English
Subjects:
Anemia
Ascites
Case Report
Case reports
Dyspnea - etiology
Female
Hemothorax
Hemothorax - etiology
Humans
Pleural effusion
Pleural Effusion - etiology
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Summary: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.
ISSN:2324-7096
2324-7096
DOI:10.1177/23247096211052191