Hemothorax and Hemorrhagic Ascites: A Rare Presentation of Endometriosis

Haoxiang Wang
In: The Medicine Forum · 2019 · vol. 20(1) · doi:10.29046/tmf.020.1.014 · W2955556787
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-13 ⓘ

This case report describes a rare presentation of endometriosis causing concurrent hemothorax and hemorrhagic ascites in a woman with shortness of breath and abdominal pain.

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This case report describes a reproductive-age woman who presented with shortness of breath and abdominal pain and was found to have a hemothorax along with hemorrhagic ascites. The paper’s main finding is that these rare concurrent thoracic and abdominal hemorrhagic manifestations were attributed to endometriosis, highlighting that endometriosis can extend beyond the pelvis to sites such as the thorax and, very rarely, be associated with both pleural effusion and ascites. The authors note the diagnostic challenge posed by this presentation because hemothorax and hemorrhagic ascites can have other etiologies. This paper is centrally about endometriosis — it presents a rare case of endometriosis-associated hemothorax and hemorrhagic ascites.

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Abstract

Introduction Endometriosis is a common diagnosis in reproductive age women characterized by the presence of endometrial tissue outside the uterine cavity.1 Although it is typically confined to the pelvis, rare manifestations involving the thorax, abdomen or pericardium have been documented.2-5 Even more rare is the concurrent presence of endometriosis- associated hemorrhagic pleural effusion and ascites, which can prove a diagnostic challenge. We describe a case of hemothorax and hemorrhagic ascites in a woman with shortness of breath and abdominal pain.
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Abstract Introduction Endometriosis is a common diagnosis in reproductive age women characterized by the presence of endometrial tissue outside the uterine cavity.1 Although it is typically confined to the pelvis, rare manifestations involving the thorax, abdomen or pericardium have been documented.2-5 Even more rare is the concurrent presence of endometriosis- associated hemorrhagic pleural effusion and ascites, which can prove a diagnostic challenge. We describe a case of hemothorax and hemorrhagic ascites in a woman with shortness of breath and abdominal pain. Recommended Citation Wang, MD, Harry (2019) "Hemothorax and Hemorrhagic Ascites: A Rare Presentation of Endometriosis," The Medicine Forum: Vol. 20, Article 15. DOI: https://doi.org/10.29046/TMF.020.1.014 Available at: https://jdc.jefferson.edu/tmf/vol20/iss1/15

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endometriosis

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