Thoracic endometriosis syndrome

D. Guidozzi; E Rockson

doi:10.7196/sajog.1340

Thoracic endometriosis syndrome

D. Guidozzi, E Rockson

In: South African Journal of Obstetrics and Gynaecology · 2018 · vol. 24(3) , pp. 90 · doi:10.7196/sajog.1340 · W2904105698

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A patient with a history of recurrent hemopneumothoraces related to menstruation was diagnosed with thoracic endometriosis and treated with dienogest.

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This case report describes a 35-year-old nulliparous woman presenting with secondary infertility and recurrent right-sided haemopneumothorax episodes linked to her menstrual cycle. Diagnostic pleural biopsy confirmed the presence of endometriosis, leading to treatment with dienogest while awaiting further management by cardiothoracic surgeons. The paper highlights the clinical presentation and diagnostic pathway for thoracic involvement in this rare condition. This paper is centrally about endometriosis — specifically thoracic endometriosis syndrome involving pleural lesions.

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Abstract

A 35-year-old nulliparous patient with secondary infertility presented to a tertiary hospital in Johannesburg with abnormal uterine bleeding, and a history of two previous right-sided haemopneumothoraces. The second episode had been related to her menstruation, and required the insertion of an intercostal drain in order to treat the large haemothorax. A pleural biopsy revealed pleural endometriosis. She was treated with dienogest (Visanne) on discharge, and was awaiting follow-up with the cardiothoracic surgeons for continued and definitive management.

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Case reports Thoracic endometriosis syndrome Abstract A 35-year-old nulliparous patient with secondary infertility presented to a tertiary hospital in Johannesburg with abnormal uterine bleeding, and a history of two previous right-sided haemopneumothoraces. The second episode had been related to her menstruation, and required the insertion of an intercostal drain in order to treat the large haemothorax. A pleural biopsy revealed pleural endometriosis. She was treated with dienogest (Visanne) on discharge, and was awaiting follow-up with the cardiothoracic surgeons for continued and definitive management. Authors' affiliations D Guidozzi, Department of Obstetrics and Gynaecology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa. E Rockson, Department of Obstetrics and Gynaecology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa. Full Text PDF (78KB)Keywords Cite this article Article History Date published: 2018-12-14 Article Views Full text views: 588

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