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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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.