Pathological diagnosis of thoracic endometriosis

Seline Keijzer, Wolter Oosterhuis, Hans Marten Hazelbag, Hans M Hazelbag, Tess Meuleman
BMJ case reports · 2021 · vol. 14(8) , pp. e243258 · doi:10.1136/bcr-2021-243258 · PMID:34404651 · PMC8372794 · W3193390315
article OA: green CC0 ⤵ 2 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case report describes a diagnosis of thoracic endometriosis in a patient with pelvic endometriosis, confirmed by immunohistochemistry after initial histopathology was inconclusive, leading to successful surgical treatment.

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Abstract

A 26-year-old woman, who underwent abdominal surgery because of pelvic endometriosis, suffered from upper abdominal pain, fever and dyspnoea 2 days postoperatively. Paralytic ileus and right-sided pneumothorax were revealed. Treatment with a chest drain was not successful and, thus, a video-assisted thoracoscopic surgery was performed, revealing endometriosis-like lesions. Basic histopathology did not confirm the visual diagnosis, but additional immunohistochemical staining for oestrogen and progesterone receptors showed positive reaction in epithelial lung cells, thus proved the diagnosis thoracic endometriosis. A resection of the apex of the right upper lobe and pleurodesis by talc poudrage was performed after which a mesh graft was applied on the diaphragm. After 5 years of follow-up, no recurrent pneumothorax occurred.

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Condition tags

endometriosisthoracic_endometriosis

MeSH descriptors

Endometriosis Endometriosis Endometriosis Pneumothorax Pneumothorax Adult Diaphragm Female Humans Pleurodesis Recurrence Thoracic Surgery, Video-Assisted

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (22)

Cited by (2)

Source provenance

europepmc
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