Abstract
Objective: To report a case of Endometriosis associated with Pleural effusion. Design: Case report. Setting: Tertiary care center. Patient(s): A 30-year old woman presented with a right pleural effusion complicated with pneumothorax-mimicking TB. Intervention(s): Thoracentesis, pleural biopsy by a video-assisted thoracic surgery, pleurodesis, thoracic wedge resection, CT chest, CT Abdomen, and diagnostic Laparoscopy. Main Outcome Measure(s): After taking a GnRH analog, there was no recurrence of pleural effusion nor ascites. Result(s): Thoracentesis and wedge resection of lung ruled out malignancy. An omental mass biopsy obtained from diagnostic laparoscopy after the patient returned with drug-induced hepatitis, and ascites revealed endometriosis. Conclusion(s): Thoracic endometriosis is rare; however, it should be considered in the differential diagnosis by unknown causes of pleural effusion in reproductive age timeframe in women.
Highlights
Thoracic endometriosis is defined as the presence of endometrial glands and stroma abnormally implanted in the pleura and/or lungs
Patient(s): A 30-year old woman presented with a right pleural effusion complicated with pneumothorax-mimicking TB
An omental mass biopsy obtained from diagnostic laparoscopy after the patient returned with drug-induced hepatitis, and ascites revealed endometriosis
Summary
Thoracic endometriosis is defined as the presence of endometrial glands and stroma abnormally implanted in the pleura and/or lungs. One of the treatment options in women who wish to preserve fertility involves suppression of gonadotropin release with GnRH agonists This case report was chosen to raise awareness of thoracic endometriosis and to consider it as a potential cause of recurrent pneumothorax, pleural effusion of unknown origin in reproductive age women. In this case report, the patient was managed empirically with anti-tuberculosis medication until she developed side effects from the medication which lead to further investigations diagnosing Endometriosis. She presented with recurrent right pleural effusion complicated with pneumothorax
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