Endometriosis Toraks di Diafragma Dextra dengan Manifestasi Nyeri Dada dan Pneumotoraks

Tommy Dharmawan, Tania Maharani Chandra, Andon Hestiantoro, Agnes Stephanie Harahap
In: Journal Of The Indonesian Medical Association · 2023 · vol. 73(4) , pp. 199–205 · doi:10.47830/jinma-vol.73.4-2023-1169 · W4387218907
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-07-09 ⓘ

This case report details a reproductive-age female patient presenting with right chest pain and shortness of breath during menstruation, diagnosed with right diaphragmatic endometriosis causing pneumothorax.

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⚙ AI-generated deep summary by claude@2026-07, 2026-07-09 · read from full text ⓘ

This paper reports a clinical case of a female patient with right chest pain and shortness of breath occurring at menstruation, where imaging identified a right pneumothorax. Chest X-ray supported pneumothorax requiring right chest tube placement, while CT showed a lesion on the right diaphragm; the final diagnosis was confirmed by pathological examination revealing a true endometriosis lesion. The authors describe management with minimally invasive surgery via video-assisted thoracoscopic surgery (VATS) and note postoperative treatment with a gonadotropin-releasing hormone analog, without further caveats beyond the case-report format. This paper is centrally about endometriosis — it presents thoracic endometriosis localized to the right diaphragm with right chest pain and pneumothorax.

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Abstract

Pendahuluan: Endometriosis toraks adalah penyakit yang jarang terjadi namun dapat menimbulkan morbiditas dan mortalitas. Deteksi dini dengan anamnesis dan pemeriksaan penunjang yang tepat dapat mengarahkan pilihan terapi dan memperbaiki prognosis pasien.Laporan Kasus: Pada laporan kasus ini seorang pasien perempuan usia produktif dengan gejala nyeri dada kanan dan sesak yang terjadi saat menstruasi.Diskusi: Dari hasil rontgen toraks ditemukan pneumotoraks dextra dan dilakukan pemasangan selang dada. Anamnesis yang menunjang ke arah endometriosis toraks dan hasil CT scan yang menunjukkan terdapat lesi diafragma kanan lalu tatalaksana dilanjutkan dengan pembedahan minimal invasive video-assisted thoracoscopic surgery (VATS). Intraoperasi dilakukan reseksi lesi dan dari hasil patologi anatomi dikonfirmasi terdapat lesi endometriosis. Pasca operasi pasien diberikan tatalaksana hormonal dengan gonadotropin releasing hormone analog.Kesimpulan: Tidak ada kekambuhan gejala pada pemantauan lanjutan sampai 12 bulan setelah operasi.
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Abstract

Introduction: Thoracic endometriosis is a rare disease but could lead to morbidity and mortality. Early detection with prompt anamnesis and supporting examination may direct the best therapy and also increase the prognosis of patient. Case report: On this case report, we presented a female patient with right chest pain and shortness of breath on menstruation time.

Discussion

From chest X-ray we found right pneumothorax and it led to chest tube placement on the right chest. The anamnesis supported the diagnosis of thoracic endometriosis and furthermore from CT scan we found lesion on the right diaphragm. So, we proceeded with minimal invasive surgery (video assisted thoracoscopic surgery (VATS)). Pathology anatomy examination revealed a true endometriosis lesion.

Conclusion

The operation went uneventful and then post operative we gave gonadotropin releasing hormone analog.

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endometriosis

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