Thoracic endometriosis presenting as hemopneumothorax

Ahel El Haj Chehade, Ahmad Basil Nasir, Nasir AB, Jo Elle G Peterson, Peterson JEG, Timothy Ramseyer, Ramseyer T, Bhardwaj H, Himanshu Bhardwaj
Monaldi archives for chest disease = Archivio Monaldi per le malattie del torace · 2022 · vol. 93(3) · doi:10.4081/monaldi.2022.2401 · PMID:36172717 · W4297474674
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⚙ AI-generated summary by claude@2026-07, 2026-07-14 ⓘ

This case report describes a young female diagnosed with thoracic endometriosis presenting as recurrent hemopneumothorax, confirmed via thoracoscopic surgery and pathology, and successfully treated with pleurectomy, diaphragmatic repair, pleurodesis, and hormonal therapy.

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⚙ AI-generated deep summary by claude@2026-07, 2026-07-14 · read from full text ⓘ

This paper is a case report from Pneumology Case Reports describing thoracic endometriosis that presented clinically as hemopneumothorax. The authors discuss the diagnostic presentation and management course of this atypical manifestation. A key limitation of the report is that it provides evidence from a single case, so the findings cannot be generalized. This paper is centrally about endometriosis — it specifically presents thoracic endometriosis manifesting as hemopneumothorax.

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Abstract

Thoracic endometriosis is very rare. Usually, the thorax is the most frequent affected site outside the pelvis. Common symptoms include chest pain, dyspnea, and hemoptysis. Common manifestations include pneumothorax, hemothorax, and pulmonary or pleural nodules. In addition, symptoms and manifestations can be "catamenial" happening a few days after menstruation onset. This disease can be debilitating, causing a significant impact on the quality of life of young women. We present a case of a young female who was referred to our hospital with recurrent right-sided pleural effusions and pneumothoraces. Pleural fluid drainage was consistent with hemothorax. Transvaginal ultrasound showed mild intraperitoneal fluid in the Cul-de-Sac. Due to concerns for thoracic endometriosis, video-assisted thoracoscopic surgery was performed confirming the diagnosis by pathology. Therapeutic pleurectomy with diaphragmatic repair and pleurodesis was performed. The patient was started on medroxyprogesterone acetate injections two weeks after with great clinical response.
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Pneumology - Case Reports Vol. 93 No. 3 (2023) Thoracic endometriosis presenting as hemopneumothorax Publisher's note All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher. All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher. Received: 9 August 2022 Accepted: 23 September 2022 Accepted: 23 September 2022 2381 Views 701 Downloads

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Condition tags

endometriosisthoracic_endometriosis

MeSH descriptors

Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis

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 (13)

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