Massive pleural endometriosis
Case report
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⤵ 18 in-corpus citations
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This case report describes a patient with massive pleural effusion and ascites ultimately diagnosed as endometriosis, requiring surgical intervention and hysterectomy.
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Abstract
We present a patient who was referred to our thoracic surgical service with a massive, loculated right pleural effusion accompanied by significant ascites. Thoracotomy and decortication were required and pleural biopsy led to a diagnosis of endometriosis. Aggressive medical therapy was subsequently initiated but hysterectomy with bilateral oophorectomy was required due to poor symptom control and the inability to rule out a neoplastic process. There are less than 15 reported cases of endometriosis presenting with both pleural effusion and ascites. Thoracic surgeons presented with such a scenario should be cognizant of this pathological entity.
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References (7)
- Endometriosis including endometriosis of the diaphragm and Meigs' syndrome via openalex
- Endometriosis presenting as bloody pleural effusion and ascites-report of a case and review of the literature via openalex
- Extrapelvic endometriosis via openalex
- Thoracic endometriosis. Recurrence following hysterectomy with bilateral salpingo-oophorectomy and successful treatment with talc pleurodesis via openalex
- W2112666605 via openalex
- W1983035501 via openalex
- W6802283461 via openalex
Cited by (18)
- Pleural effusion secondary to endometriosis: A systematic review 2023
- Endometriosis-Related Pleural Effusion: A Case Report and a PRISMA-Compliant Systematic Review 2021
- Clinical Presentation and Management of Endometriosis-Related Hemorrhagic Ascites: A Case Report and Systematic Review of the Literature 2021
- Thoracic endometriosis syndrome in Nigeria: a single-centre experience 2020
- Endometriosis, Pleural 2018
- An Asymptomatic Haemorrhagic Pleural Effusion Mimicking Extra-Pulmonary Tuberculosis in a Young Woman with Thoracic Endometriosis Syndrome: A Case Report 2018
- Ascites and Encapsulating Peritonitis in Endometriosis: a Systematic Review with a Case Report 2018
- Catamenial right haemothorax due to endometriosis: two case reports 2015
- Laparoscopic Management of Phrenic Endometriosis 2011
- Thoracic endometriosis: revisiting the association between clinical presentation and thoracic pathology based on thoracoscopic findings in 110 patients 2010
- A systematic review: endometriosis presenting with ascites 2010
- [Thoracic endometriosis] 2007
- Endometriosis: harmful survival of an ectopic tissue 2006
- Unusual presentation of endometriosis with massive ascites and recurrent pleural effusion: a case report and review of the literature 2006
- A 25-year-old patient with spontaneous hemothorax 2005
- [Pleural endometriosis: an unusual presentation] 2005
- Catamenial pneumothorax and other thoracic manifestations of endometriosis 2004
- Anatomical Sites of Endometriosis 2003
Source provenance
- europepmc
- last seen: 2026-10-15T06:08:49.021275+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-10-08T21:00:38.508852+00:00
- unpaywall
- last seen: 2026-10-15T06:24:24.424788+00:00
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