Pleural Endometriosis: An Atypical Cause of Hemoptysis
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This case report describes a 43-year-old female with thoracic endometriosis causing hemoptysis due to endometrial tissue found in the parietal pleura.
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Abstract
Endometriosis is a benign, inflammatory disease characterized by the presence of dysfunctional endometrial tissue outside the uterus. Typically confined to the pelvis, endometriosis is frequently associated with pain, dysmenorrhea, and infertility. Rarely, endometrial tissue has been documented to implant within the lung parenchyma and involve both parietal and visceral pleura of the thorax. Manifestations of thoracic endometriosis include catamenial pneumothorax, hemothorax, and hemoptysis. We present a case of thoracic endometriosis in a 43-year-old female who was found to have a loculated pleural effusion with an associated pleural nodule after gynecologic surgery. The patient underwent thoracotomy, decortication, and nodule excision. Pathology of the pleural nodule showed evidence of endometrial tissue within the parietal pleural. Thoracic endometriosis is a medical problem that is frequently undiagnosed and encountered by the practicing surgeon. Early diagnosis reduces both disease progression and late complications, allowing for early initiation of appropriate medical and surgical therapy.
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Cites (2)
- Thoracic endometriosis syndrome: New observations from an analysis of 110 cases 1996
- Thoracic Endometriosis Syndrome: A Review of Diagnosis and Management 2019
Cited by (2)
References (4)
- Thoracic Endometriosis Syndrome: A Review of Diagnosis and Management via openalex
- Thoracic endometriosis syndrome: New observations from an analysis of 110 cases via openalex
- W2019601632 via openalex
- W2162110143 via openalex
Cited by (2)
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- europepmc
- last seen: 2026-06-04T01:30:01.192114+00:00
- openalex
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- pubmed
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- unpaywall
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