Abstract
Background: Endometriosis is an inflammatory disorder in women of reproductive age where endometrial cells grow outside the uterus. Although its pathogenesis is complex and not fully understood, it’s believed to stem from a combination of factors including congenital predisposition, environmental influences, epigenetic alterations, autoimmune responses, and allergic tendencies [1]. In rare cases, it can result in hemorrhagic ascites or even thoracic endometriosis syndrome (TES), where endometrial tissue is in the thorax, potentially causing catamenial pneumothorax and catamenial hemothorax. We report a case of a 32-year-old African American woman with both hemorrhagic ascites and hemopneumothorax.
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