[Haemothorax revealing thoracic endometriosis]
M Barzilai1, M Roriz1, A Guyard2
1Université de Paris, Assistance Publique Hôpitaux de Paris, Département de Médecine Interne, Hôpital Bichat-Claude Bernard, Paris, France.
La Revue De Medecine Interne
|July 26, 2020
Summary
Thoracic endometriosis (TE) is a rare condition causing pneumothorax or haemothorax in women. This case highlights TE as a crucial consideration for haemothorax in reproductive-aged women.
Area of Science:
- Gynecology
- Pulmonology
- Thoracic Surgery
Background:
- Thoracic endometriosis (TE) is a rare condition affecting women of reproductive age.
- TE can manifest as spontaneous pneumothorax or haemothorax.
- Current treatments involve surgery and hormonal therapy to remove thoracic endometrial implants and prevent recurrence from pelvic endometriosis.
Observation:
- A case report of a 36-year-old woman with recurrent, large, isolated right haemothorax.
- The patient's symptoms were revealed to be thoracic endometriosis.
- The report discusses the diagnosis, pathogenesis, and treatment of this condition.
Findings:
- Thoracic endometriosis can present as recurrent haemothorax.
- Diagnosis and management require a multidisciplinary approach.
- Surgical and hormonal therapies are the mainstay of treatment.
Implications:
- Thoracic endometriosis should be considered in the differential diagnosis of haemothorax in women of childbearing age.
- Early diagnosis and appropriate management can improve patient outcomes.
- Further research into the pathogenesis and treatment of TE is warranted.
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