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MRI features of pleural endometriosis after catamenial haemothorax

Giulia Picozzi1, Davide Beccani, Florio Innocenti

  • 1Radiodiagnostic Section, Department of Clinical Physiopathology University of Florence, Italy.

BMJ Case Reports
|June 21, 2011
PubMed

A 43-year-old multiparous woman with a history of pelvic endometriosis and myocardial infarction presented with acute onset of right hemithorax pain and dyspnoea coinciding with dysmenorrhoeic menstruation. A chest CT confirmed the presence of a right hydropneumothorax which was drained. A video-assisted thoracoscopy was unremarkable but at a subsequent menses, an MRI chest demonstrated a lesion in the right costophrenic angle. The patient underwent a hysterectomy and oophorectomy for treatment of endometriosis. Six months later, she was free of thoracic symptoms and a repeat MRI scan showed resolution of the right pleural abnormality.

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