Case Report
Volume 9 Issue 7 - 2020
Pleural and Abdominal Endometriosis: A Rare Case Report and Review of Literature
Reda Ramadan Yousef1*, Amr Elmahdy2, Ashwini Gujrathi1, Ahmed Sabry1, Ahmed Elgebaly4, Amal Alobaidly1 and Samah Kohla3
1Department of Clinical Imaging, Women’s Hospital, Hamad Medical Corporation, Doha, Qatar
2Radiology Resident, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar
3Department of Lab Medicine and Pathology, Hematology section, NCCR, Doha, Qatar
4Department of Radiodiagnosis, Zagazig university, Zagazig, Egypt
*Corresponding Author: Reda Ramadan Yousef, Department of Clinical Imaging, Women’s Hospital, Hamad Medical Corporation, Doha, Qatar.
Received:March 12, 2020; Published: June 03, 2020


Introduction: Thoracic endometriosis syndrome (TES) is the presence of endometrial tissue in the lung parenchyma or in the pleural cavity. Thoracic endometriosis syndrome consists of four distinct clinical entities: catamenial pneumothorax, catamenial hemothorax, hemoptysis, and pulmonary nodules. Thoracic endometriosis syndrome is a rare and complex condition, and diagnosis is often delayed or missed by clinicians, which can result in recurrent hospitalizations and other complications.

Current treatments include hormone therapy and, where warranted, surgical intervention. We report the case of a 33-year-old woman with endometriosis of the lung and abdomen causing catamenial hemothorax, pneumothorax and ascites.

Method: We are reporting one case of the endometriosis of the thorax which is a rare form of extrapelvic endometriosis. This patient is typically present with catamenial pneumothorax, hemothorax and ascites. Adequate clinical history coupled with HRCT help in early diagnosis and appropriate management of thoracic endometriosis.

Conclusion: TES is a rare and complex condition, resulting in delayed or missed diagnosis by clinicians. To prevent such problem and to apply appropriate treatment, a high index of suspicion is essential in any woman of reproductive age or receiving hormone replacement therapy who is experiencing cyclical chest pain, dyspnea, and/or hemoptysis. Hormone therapy is a suitable first-line treatment because it is less invasive and can preserve fertility. However, surgical intervention is available for women for whom medical therapy fails or who have a high load of disease.

Keywords: Endometriosis; Lung; Pleura; Abdomen; High Resolution Computed Tomography


  1. Fukuda S., et al. “Thoracic endometriosis syndrome: Comparison between catamenial pneumothorax or endometriosis-related pneumothorax and catamenial hemoptysis”. European Journal of Obstetrics and Gynecology and Reproductive Biology 225 (2018): 118.
  2. Römer T. “Correction to: Long-term treatment of endometriosis with dienogest: retrospective analysis of efficacy and safety in clinical practice”. Archives of Gynecology and Obstetrics 298 (2018): 747.
  3. Lalani S., et al. “Endometriosis and adverse maternal, fetal and neonatal outcomes, a systematic review and meta-analysis”. Human Reproduction 33 (2018): 1854.
  4. Audebert A., et al. “Anatomic distribution of endometriosis: A reappraisal based on series of 1101 patients”. European Journal of Obstetrics and Gynecology and Reproductive Biology 230 (2018): 36.
  5. Harris HR., et al. “Early life abuse and risk of endometriosis”. Human Reproduction 33 (2018): 1657.
  6. Reid S and Condous G. “Update on the ultrasound diagnosis of deep pelvic endometriosis”. European Journal of Obstetrics and Gynecology and Reproductive Biology 209 (2017): 50.
  7. Lier MCI., et al. “Spontaneous hemoperitoneum in pregnancy (SHiP) and endometriosis - A systematic review of the recent literature”. European Journal of Obstetrics and Gynecology and Reproductive Biology 219 (2017): 57.
  8. Guerriero S., et al. “Transvaginal ultrasound vs magnetic resonance imaging for diagnosing deep infiltrating endometriosis: systematic review and meta-analysis”. Ultrasound in Obstetrics and Gynecology 51 (2018): 586.
  9. Rousset P., et al. “MR diagnosis of diaphragmatic endometriosis”. European Radiology 26 (2016): 3968.
  10. Bazot M., et al. “European society of urogenital radiology (ESUR) guidelines: MR imaging of pelvic endometriosis”. European Radiology 27 (2017): 2765.
  11. Barcellos MB., et al. “Agreement between the preoperative findings and the operative diagnosis in patients with deep endometriosis”. Archives of Gynecology and Obstetrics 293 (2016): 845.
  12. Wang HC., et al. “Catamenial hemoptysis from tracheobronchial endometriosis: reappraisal of diagnostic value of bronchoscopy and bronchial brush cytology”. Chest 118.4 (2000): 1205-1208. 
  13. Shiota Y., et al. “A case of parenchymal pulmonary endometriosis, diagnosed by cytologic examination of bronchial washing”. Respiration 68.4 (2001): 439. 
  14. Saavalainen L., et al. “Risk of Gynecologic Cancer According to the Type of Endometriosis”. Obstetrics and Gynecology 131 (2018): 1095.
  15. Kavoussi SK., et al. “Incidence of ovarian endometrioma among women with peritoneal endometriosis with and without a history of hormonal contraceptive use”. European Journal of Obstetrics and Gynecology and Reproductive Biology 215 (2017): 220.
  16. Saavalainen L., et al. “A Nationwide Cohort Study on the risk of non-gynecological cancers in women with surgically verified endometriosis”. International Journal of Cancer 143 (2018): 2725.
Citation: Reda Ramadan Yousef., et al. “Pleural and Abdominal Endometriosis: A Rare Case Report and Review of Literature”. EC Gynaecology 9.7 (2020): 17-24.

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