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




Abstract

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

References

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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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