Pleural Endometriosis: An Atypical Cause of Hemoptysis

Autor: Ilya Sakharuk, Peter Drevets, Philip Coffey, Josie Guitton, Vijay Patel
Rok vydání: 2023
Předmět:
Zdroj: The American Surgeon. :000313482311617
ISSN: 1555-9823
0003-1348
DOI: 10.1177/00031348231161715
Popis: Endometriosis is a benign, inflammatory disease characterized by the presence of dysfunctional endometrial tissue outside the uterus. Typically confined to the pelvis, endometriosis is frequently associated with pain, dysmenorrhea, and infertility. Rarely, endometrial tissue has been documented to implant within the lung parenchyma and involve both parietal and visceral pleura of the thorax. Manifestations of thoracic endometriosis include catamenial pneumothorax, hemothorax, and hemoptysis. We present a case of thoracic endometriosis in a 43-year-old female who was found to have a loculated pleural effusion with an associated pleural nodule after gynecologic surgery. The patient underwent thoracotomy, decortication, and nodule excision. Pathology of the pleural nodule showed evidence of endometrial tissue within the parietal pleural. Thoracic endometriosis is a medical problem that is frequently undiagnosed and encountered by the practicing surgeon. Early diagnosis reduces both disease progression and late complications, allowing for early initiation of appropriate medical and surgical therapy.
Databáze: OpenAIRE