Shortness of breath in a young lady, rare case report of thoracic endometriosis.
Case report
Pleurodesis
Pneumohemothorax
Shortness of breath
Thoracic endometriosis
Journal
International journal of surgery case reports
ISSN: 2210-2612
Titre abrégé: Int J Surg Case Rep
Pays: Netherlands
ID NLM: 101529872
Informations de publication
Date de publication:
Jun 2022
Jun 2022
Historique:
received:
02
04
2022
revised:
16
05
2022
accepted:
16
05
2022
pubmed:
23
5
2022
medline:
23
5
2022
entrez:
22
5
2022
Statut:
ppublish
Résumé
Endometrial glandular tissue can implant in the thorax of women suffering from endometriosis. The clinical presentation is depends on site of implantation. Complications include pneumothorax, pneumohemothorax or hemothorax. A 31 year old woman with history of infertility presented with shortness of breath and was found to have a significant right sided pneumohemothorax. Drainage was done followed by chemical pleurodesis using bleomycin with resolution of symptoms on her follow up. Thoracic endometriosis tend to present with chronic or sub-acute symptoms which are non-specific symptoms leading to late diagnosis. Video Assisted Thoracoscopic surgery offer both diagnostic and therapeutic in thoracic endometriosis. However in limited settings chemical pleurodesis can be carried out done to prevent recurrence of shortness of breath due to thoracic endometriosis. Therefore, clinical suspicion of thoracic endometriosis in evaluation of shortness of breath in a young lady with history of infertility or pelvic surgery is indispensable.
Identifiants
pubmed: 35598337
pii: S2210-2612(22)00472-2
doi: 10.1016/j.ijscr.2022.107226
pmc: PMC9127588
pii:
doi:
Types de publication
Journal Article
Langues
eng
Pagination
107226Informations de copyright
Copyright © 2022 The Authors. Published by Elsevier Ltd.. All rights reserved.
Références
Am J Med. 1996 Feb;100(2):164-70
pubmed: 8629650
Best Pract Res Clin Obstet Gynaecol. 2004 Apr;18(2):177-200
pubmed: 15157637
Obstet Gynecol Clin North Am. 1997 Jun;24(2):411-40
pubmed: 9163774
Eur Respir J. 2008 Jan;31(1):140-2
pubmed: 17804443
Am J Respir Crit Care Med. 2007 Nov 15;176(10):1048-53
pubmed: 17626909
Chest. 2014 Feb;145(2):354-360
pubmed: 24091546
J Thorac Cardiovasc Surg. 2004 May;127(5):1513-4
pubmed: 15116017
Int J Surg. 2020 Dec;84:226-230
pubmed: 33181358
J Pak Med Assoc. 2013 Jan;63(1):114-6
pubmed: 23865146
Obstet Gynecol. 2010 Jul;116(1):223-236
pubmed: 20567196
Radiol Case Rep. 2020 Nov 28;16(2):250-253
pubmed: 33304436