Pleural Endometriosis: An Exceptional Cause of Hemorrhagic Pleural Effusion

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This paper discusses pleural endometriosis as a rare cause of hemorrhagic pleural effusion, citing relevant studies and diagnostic considerations.

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This paper describes an exceptional case of pleural endometriosis presenting as a hemorrhagic pleural effusion, framed within a clinical context of thoracic endometriosis syndromes. The authors provide a high-level discussion typical of case-based reports, likely emphasizing recognition and diagnostic pitfalls by relating the presentation to prior reports of thoracic manifestations such as catamenial pneumothorax/hemothorax and pleuro-pulmonary endometriosis. A key limitation is that, as a case report, it cannot establish prevalence or generalizable causation beyond the individual presentation. This paper is centrally about endometriosis — specifically pleural endometriosis causing hemorrhagic pleural effusion.

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References Clement PB. Diseases of the peritoneum. In: Kurman RJ, editor. Blaustein’s pathology of the female genital tract. 5th ed. New Delhi: Springer; 2002. p. 729–89. Managing the RNTCP in your area: A Training Course, Module 1-4, Central TB Division, DGHS, Dept of Health & Family Welfare, Govt of India, P-79-105. Dhanaworavibul K, Hanprasertpong J, Cheewadhanaraks S, et al. Bilateral pleural endometriosis. J Obstet Gynaecol Res. 2006;32:86–9. Joseph J, Sahn SA. Thoracic endometriosis syndrome: new observations from an analysis of 110 cases. Am J Med. 1996;100:164–70. Johnson MM. Catamenial pneumothorax and other thoracic manifestations of endometriosis. Clin Chest Med. 2004;25:311–9. Wilkins SB, Bell-Thomson J, Tyras DH. Hemothorax associated with endometriosis. J Thorac Cardiovasc Surg. 1985;89:636–8. Kalapura T, Okadigwe C, Fuchs Y, et al. Spiral computerized tomography and video thoracoscopy in catamenial pneumothorax. Am J Med Sci. 2000;319:186–8. Flieder DB, Moran CA, Travis WD, et al. Pleuro-pulmonary endometriosis and pulmonary ectopic deciduosis: a clinicopathologic and immunohistochemical study of 10 cases with emphasis on diagnostic pitfalls. Hum Pathol. 1998;29:1495–503. Clement PB. The pathology of endometriosis: a survey of the many faces of a common disease emphasizing diagnostic pitfalls and unusual and newly appreciated aspects. Adv Anat Pathol. 2007;14:241–60. Jänne O, Kauppila A, Kokko E, et al. Estrogen and progestin receptors in endometriosis lesions: comparison with endometrial tissue. Am J Obstet Gynecol. 1981;141:562–6. Bur ME, Greene GL, Press MF. Estrogen receptor localization in formalin-fixed, paraffin-embedded endometrium and endometriotic tissues. Int J Gynecol Pathol. 1987;6:140–51. Honore GM. Extrapelvic endometriosis. Clin Obstet Gynecol. 1999;42:699–711. Suginami H. A reappraisal of the coelomic metaplasia theory by reviewing endometriosis occurring in unusual sites and instances. Am J Obstet Gynecol. 1991;165:214–8. Dawood MY, Khan-Dawood FS, Ramos J. Plasma and peritoneal fluid levels of CA 125 in women with endometriosis. Am J Obstet Gynecol. 1988;159:1526–31. Morita Y, Tsutsumi O, Taketani Y. Successful treatment of catamenial pneumothorax with danazol. Int J Gynaecol Obstet. 1995;51:263–4. Ghio A, Crapo R. Midcycle pneumothorax in patient with catamenial pneumothoraces. West J Med. 1988;149:462–3. Light RW. Pleural Diseases. 5th edition. Lippincott Williams and Wilkins: Baltimore. p 276. Vercellini P, Fedele L, Pietropaolo G, et al. Progestogens for endometriosis: forward to the past. Hum Reprod Update. 2003;9:387–96. Disclosure All the authors disclose here that there is no financial relationship (within the past 12 months) with a biotechnology manufacturer, a pharmaceutical company, or other commercial entity that has an interest in the subject matter or materials discussed in the manuscript. Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Bhattacharjee, S., Deb, J., Saha, R. et al. Pleural Endometriosis: An Exceptional Cause of Hemorrhagic Pleural Effusion. J Obstet Gynecol India 64 (Suppl 1), 100–104 (2014). https://doi.org/10.1007/s13224-012-0313-y Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s13224-012-0313-y

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