Refractory thoracic endometriosis syndrome with bilateral hemothorax

Lannah L. Lua, Kevin Tran, Jyoti Desai
Journal of Obstetrics and Gynaecology Research · 2017 · vol. 43(7) , pp. 1227–1231 · doi:10.1111/jog.13331 · PMID:28503772 · W2612670621
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case report describes a patient with recurrent bilateral thoracic endometriosis and hemothorax who achieved remission with gonadotropin-releasing hormone agonist after multiple surgical failures.

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Abstract

Thoracic endometriosis syndrome (TES) is a rare disorder presenting with catamenial pneumothorax, hemothorax, hemoptysis or pulmonary nodules. Bilateral involvement is uncommon, and only a very few cases have been reported in the literature. We report a case of bilateral catamenial hemothorax in a patient with recurrent thoracic endometriosis. Despite multiple surgical interventions, the patient continued to develop hemopneumothorax coinciding with menses. Remission was finally achieved with the addition of gonadotropin-releasing hormone agonist, highlighting the effectiveness of postoperative adjuvant hormone therapy and supporting a combined surgical and medical approach in the treatment of TES in patients who desire future fertility.

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Condition tags

endometriosisthoracic_endometriosis

MeSH descriptors

Endometriosis Hemothorax Menstrual Cycle Pneumothorax Adult Endometriosis Endometriosis Female Hemothorax Hemothorax Humans Pneumothorax Pneumothorax Recurrence

Citation neighborhood

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References (18)

Cited by (3)

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