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


SEVINC S., UNSAL S., OZTURK T., Uysal A., SAMANCILAR O., KAYA S. O. , ...More

JOURNAL OF THE PAKISTAN MEDICAL ASSOCIATION, vol.63, no.1, pp.114-116, 2013 (Peer-Reviewed Journal) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 63 Issue: 1
  • Publication Date: 2013
  • Journal Name: JOURNAL OF THE PAKISTAN MEDICAL ASSOCIATION
  • Journal Indexes: Science Citation Index Expanded, Scopus
  • Page Numbers: pp.114-116

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.