Massive Catamenial Hemothorax: Rare Case of Thoracic Endometriosis Syndrome

Lamya Zaher Al Aamri, Nasser Alawaid, Adil H. Al Kindi
In: International Journal of Health Sciences and Research · 2021 · vol. 11(1) , pp. 209–213 · W3121102904
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This case report details a thirty-seven-year-old woman with recurrent catamenial hemothorax, ultimately diagnosed as thoracic endometriosis following surgical intervention and hormonal therapy.

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Abstract

Spontaneous hemothorax is only rarely due to thoracic endometriosis (TE). TE is presence of ectopic endometrial tissue in thoracic. It is rare phenomena seen in women of childbearing age with predominantly right-sided hemothorax and temporal relationship to menses. We report a thirty -seven -year-old Omani lady who was admitted in Sultan Qaboos hospital, Salalah with Spontaneous hemothorax and dysmenorrhea. She had past history of primary infertility due to endometriosis and she lost follow up. Therefore, TE was suspected and was introduced hormone therapy after chest drain inserted. She had recurrent hemothorax after discharge subsequently, she underwent VATS which help visualization of endometrial lesions with Pleurectomy of the involved areas and mechanical decortication and pleurodesis using scratch pad were done. Histopathology confirms diagnosis of TE. She continued hormonal therapy and repeated image showed no recurrence.

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Condition tags

endometriosisthoracic_endometriosisdysmenorrheainfertility

Citation neighborhood

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