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Massive pleural endometriosis.

S D Moffatt1, John D Mitchell

  • 1Department of Cardiothoracic Surgery, Stanford University, Stanford, CA, USA.

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery
|July 27, 2002
PubMed
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This case report details a rare instance of endometriosis causing both pleural effusion and ascites. Surgical intervention and hormonal therapy were necessary for diagnosis and management.

Area of Science:

  • Gynecology
  • Thoracic Surgery
  • Pathology

Background:

  • Endometriosis is a condition where endometrial-like tissue grows outside the uterus.
  • It commonly causes pelvic pain and infertility.
  • Rarely, it can manifest in extragenital sites, including the pleura and peritoneum.

Observation:

  • A patient presented with massive right pleural effusion and significant ascites.
  • Diagnostic thoracotomy and pleural biopsy confirmed endometriosis.
  • The patient required hysterectomy with bilateral oophorectomy due to persistent symptoms.

Findings:

  • This case represents one of fewer than 15 reported instances of endometriosis presenting with concurrent pleural effusion and ascites.
  • The diagnosis required a multidisciplinary approach involving thoracic surgery, pathology, and gynecology.

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Implications:

  • Thoracic surgeons must consider endometriosis in the differential diagnosis of unexplained pleural effusions, especially when accompanied by ascites.
  • Recognition of this rare extragenital manifestation is crucial for appropriate patient management and treatment.
  • Further research into the mechanisms of extragenital endometriosis is warranted.