Abstract
A 46-year-old black woman with a history of endometriosis presented with right-sided sciatica, right shoulder pain, and persistent cough. She had a history of severe endometriosis and myomas with previous laparoscopic supracervical hysterectomy and bilateral salpingectomy performed at an outside facility 1 year earlier. Three weeks before presentation, she had a spontaneous right pneumothorax, which was managed with a tube thoracostomy. Transvaginal ultrasound showed bilateral endometriomas, and a repeat computed tomographic scan indicated a recurrent right apical pneumothorax.
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