An Asymptomatic Haemorrhagic Pleural Effusion Mimicking Extra-Pulmonary Tuberculosis in a Young Woman with Thoracic Endometriosis Syndrome: A Case Report

Bataduwaarachchi Vipula R, Jayani Jayawardhana, Jayawardhana Jayani, Weerasinghe Champa, S.S. Sirol Aflah, Constantine Roshana, Gunasekara Kirthi
In: International Journal of Respiratory and Pulmonary Medicine · 2018 · vol. 5(2) · doi:10.23937/2378-3516/1410082 · W2883681411
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Abstract

A young woman presented with an asymptomatic recurrent right sided pleural effusion. Pleural fluid full report showed neutrophilic and haemorrhagic effusion. Adenosine deaminase level in the pleural fluid was elevated and the Mantoux test was positive. Microbiological diagnosis was negative, and she was started on anti-tuberculous therapy on clinical grounds for extrapulmonary tuberculosis. Diagnostic Thoracoscopy revealed characteristic appearance suggestive of thoracic endometriosis which was confirmed by histology.

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endometriosisthoracic_endometriosis

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