Thoracic endometriosis as cause of recurrent pneumothorax

Aguilar-Shea AL, A L Aguilar-Shea, Antonio L. Aguilar-Shea, C Gallardo-Mayo, Cristina Gallardo-Mayo, Gallardo-Mayo C
QJM : monthly journal of the Association of Physicians · 2011 · vol. 105(12) , pp. 1205–1207 · doi:10.1093/qjmed/hcr175 · PMID:21920997 · W2128942642
Case report OA: bronze CC0
📄 Open PDF View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-07 ⓘ

A 44-year-old woman with recurrent pneumothoraces was found to have thoracic endometriosis involving the diaphragmatic pleura, which was biopsied and showed fibrosis with a hyperplastic mesothelial reaction.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

We present a 44-year-old woman with no personal history of relevance but for a heterozygous mutation G1691A of the gene of Leiden factor V. Her history starts 2 years ago with two consecutive, 1 month apart, right pneumothoraces that were diagnosed as primary spontaneous pneumothorax (PSP). In both cases she was treated with endopleural aspiration and respiratory physical therapy, with full recovery. The patient remained asymptomatic for a year, but she suffered another right spontaneous pneumothorax (Figure 1). She was treated with endopleural aspiration. Videothoracoscopy was performed and revealed a bullae in the inferior lobe, a fibroid plaque on the posterior thoracic wall and a hypervascularized lesion with multiple fenestrations localized at the diaphragmatic pleura. A biopsy was taken from the hypervascularized lesion and showed pleural with fibrosis with a hyperplasic mesothelial reaction. Resection of the bullae and pleural abrasion were performed. Figure 1. Chest radiograph showing a right-sided pneumothorax. The next year the patient suffered her fourth episode of spontaneous pneumothorax and was treated again with endopleural aspiration and respiratory physical therapy. After 1 …

My notes (saved in your browser only)

Condition tags

endometriosisthoracic_endometriosis

MeSH descriptors

Endometriosis Pneumothorax Pneumothorax Thoracic Diseases Adult Adult Endometriosis Endometriosis Endometriosis Female Female Gonadotropins Gonadotropins Gonadotropins Humans Humans Menstruation Disturbances Menstruation Disturbances Menstruation Disturbances Menstruation Disturbances

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (10)

Source provenance

europepmc
last seen: 2026-10-23T06:08:06.940705+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-10-08T21:09:27.188120+00:00
License: CC0 · commercial use OK