Thoracic endometriosis syndrome with bloody pleural effusion in a 28 year old woman.

Serpil Sevinç, Saban Unsal, Şaban Ünsal, Taner Öztürk, Taner Oztürk, Ahmet Uysal, Çağrı A. Uysal, Özgür Samancılar, Ozgür Samancilar, Şeyda Örs Kaya, Seyda Ors Kaya, Sülün Ermete
JPMA. The Journal of the Pakistan Medical Association · 2013 · vol. 63(1) , pp. 114–6 · PMID:23865146 · W2417052987
article OA: closed CC0 ⤵ 9 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-10 ⓘ

This case study describes a 28-year-old woman diagnosed with pleural endometriosis causing recurrent bloody pleural effusions, ultimately treated with VATS and pleurectomy.

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Abstract

Thoracic endometriosis, rarely encountered, is characterized with the localization of functional endometrium tissue in pleura, lung parenchyma or tracheobronchial system. A 28 years old female patient visited our clinic with complaints of cough and shortness of breath for the last two months. Right-sided massive pleural effusion was detected in the chest radiography and thorax computed tomography. Exudative fluid was aspirated with a haemorrhagic appearance on thoracentesis. Cytology was evaluated as suspicious. "Signet ring cells" were reported in pleural biopsy. Diagnostic biopsy was performed by video-assisted thoracic surgery (VATS) on the patient whose fiber-optic bronchoscopy was normal. The histopathological diagnosis was reported as "pleural endometriosis". Chemical pleurodesis was applied with asbestos-free chalk. The thorax HRCT (high resolution computed tomography) performed during menstruation was normal. Thoracentesis was needed 3 times for recurrent pleural effusion in the follow-ups and then parietal pleurectomy was performed. The patient is in postoperative 10th month follow-up and evaluated as normal clinically and as radiologically. Pleural endometriosis should be considered as a differential diagnosis in female patients with infertility with chest symptoms. Video-assisted thoracoscopic surgery can be useful in the diagnosis and treatment of these patients and chemical pleurodesis and parietal pleurectomy should be considered among the treatment options.

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Condition tags

endometriosisthoracic_endometriosisinfertility

MeSH descriptors

Endometriosis Endometriosis Hemothorax Pleural Effusion Adult Endometriosis Endometriosis Female Hemothorax Hemothorax Hemothorax Humans Pleural Effusion Pleural Effusion Pleural Effusion Syndrome Thoracic Surgery, Video-Assisted

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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.

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Cited by (9)

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