A Case of Multisystem Endometriosis

Pardeep Athwal, Athwal P, Patel K, Krishna Patel, Cameron Hassani, Hassani C, Shapour Bahadori, Bahadori S, Peter M. Nardi, Peter Nardi, Nardi P
Journal of radiology case reports · 2013 · vol. 7(10) , pp. 1–6 · doi:10.3941/jrcr.v7i10.1483 · PMID:24421917 · PMC3888339 · W2012843541
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-07 ⓘ

This case report details a 37-year-old female with recurrent pneumothoraces and omental masses, confirmed via thoracoscopic biopsy to be multisystem endometriosis.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This paper reports a case of multisystem endometriosis in a 37-year-old woman with recurrent pneumothoraces that had a temporal relationship to the onset of menses, consistent with catamenial pneumothorax. Further evaluation identified multiple nodular masses within the omentum, and thoracoscopic biopsy demonstrated endometrial implants both in the pleural space and in the omental cavity. The authors also review radiological features and discuss pathogenesis for this rare condition with reference to relevant literature, with the limitation that the report is a single case. This paper is centrally about endometriosis — it specifically documents pleural and omental endometrial implants causing catamenial pneumothorax.

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Abstract

Catamenial pneumothorax is a rare complication secondary to pleural endometriosis. We present a case of a 37-year-old-female with a history of recurrent pneumothoraces with an associated temporal relationship to the onset of her menses. In addition to her recurrent pneumothoraces, on further evaluation, she was found to have multiple nodular masses within the omentum. A thoracoscopic biopsy was subsequently performed, which showed endometrial implants within the pleural space and within the omental cavity. The radiological features and pathogenesis of this rare disease are reviewed and discussed with reference to relevant literature.
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A Case of Multisystem Endometriosis DOI: https://doi.org/10.3941/jrcr.v7i10.1483Keywords: Endometriosis, catamenial pneumothorax, pneumothorax, abdominal pain, chest pain, chocolate cystsAbstract Catamenial pneumothorax is a rare complication secondary to pleural endometriosis. We present a case of a 37-year-old-female with a history of recurrent pneumothoraces with an associated temporal relationship to the onset of her menses. In addition to her recurrent pneumothoraces, on further evaluation, she was found to have multiple nodular masses within the omentum. A thoracoscopic biopsy was subsequently performed, which showed endometrial implants within the pleural space and within the omental cavity. The radiological features and pathogenesis of this rare disease are reviewed and discussed with reference to relevant literature.Downloads Published 2013-10-22 Issue Section General Radiology License The publisher holds the copyright to the published articles and contents. However, the articles in this journal are open-access articles distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License, which permits reproduction and distribution, provided the original work is properly cited. The publisher and author have the right to use the text, images and other multimedia contents from the submitted work for further usage in affiliated programs. Commercial use and derivative works are not permitted, unless explicitly allowed by the publisher.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Omentum Peritoneal Diseases Pleural Diseases Rare Diseases Abdominal Pain Abdominal Pain Adult Chest Pain Chest Pain Cysts Cysts Cysts Endometriosis Endometriosis Female Humans Pelvis Peritoneal Diseases Peritoneal Diseases

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 (12)

Cited by (9)

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License: CC0 · commercial use OK