Refractory thoracic endometriosis

2020 ◽  
Vol 13 (8) ◽  
pp. e235965
Author(s):  
Nishant Sharma ◽  
Pandi Todhe ◽  
Pius Ochieng ◽  
Srinivasarao Ramakrishna
Keyword(s):  
Pleural Effusion ◽  
Hormonal Treatment ◽  
Young Female ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Chemical Pleurodesis ◽  
Catamenial Pneumothorax ◽  
Recurrent Pneumothorax ◽  
Thoracic Endometriosis

Thoracic endometriosis syndrome (TES) is a rare entity caused by thoracic implantation of endometrial tissue, manifesting as catamenial pneumothorax, pleural effusion and haemoptysis in young female individuals. Its management and long-term prevention of recurrences, can be challenging. We present the case of a young woman who presented with recurrent pneumothorax, haemopneumothorax and pleural effusion. The diagnosis of TES was confirmed based on cytological findings of pleural fluid. She underwent treatment with mechanical pleurodesis twice but continued to have recurrences. Hormonal treatment failed to produce a satisfactory resolution. She underwent chemical pleurodesis, which successfully induced remission of her TES. A review of the literature suggests that chemical pleurodesis produces better results compared with mechanical pleurodesis and that hormonal treatment with gonadotropin-releasing hormone agonists is effective at preventing recurrences.

CATAMENIAL PNEUMOTHORAX: PRESENTATION OF A CASE AND REVIEW OF THE LITERATURE

2021 ◽  
pp. 110-112
Author(s):  
Denny Marcela Achicanoy Puchana ◽  
Fabricio Andres Lasso Andrade ◽  
Diana Fernanda Achicanoy Puchana ◽  
Jorge Alejandro Cadena Arteaga ◽  
Roger Stiven Cortés España ◽  
...  
Keyword(s):  
Surgical Management ◽  
Pelvic Pain ◽  
Clinical Picture ◽  
Adhesion Formation ◽  
Hormonal Treatment ◽  
Review Of The Literature ◽  
Pathological Study ◽  
Catamenial Pneumothorax ◽  
Management Of Complications ◽  
Thoracic Endometriosis

Endometriosis is dened as the presence of functional extra-uterine endometrial tissue, which can suffer hemorrhage, inammation, brosis and adhesion formation, causing pelvic pain and infertility. The chest is a place where the presentation of endometriosis is rare, its diagnosis is based on the clinical picture of pneumothorax without associated trauma but with cyclical presentation. The pathological study is based on the presence of stroma and endometrial glands. The management of thoracic endometriosis is medical based on hormonal treatment, and surgical management for the management of complications or resection of the ovaries and hysterectomy to avoid recurrence. We present a case of a patient with recurrent catamenial pneumothorax.

Recurrent pleural effusion secondary to endometriosis: a rare malady

2021 ◽  
Vol 14 (4) ◽  
pp. e240057
Author(s):  
Seethala Chittemsetti ◽  
Nandakishore Baikunje ◽  
Giridhar Belur Hosmane ◽  
Shubha Bhat
Keyword(s):  
Pleural Effusion ◽  
Young Woman ◽  
Hormonal Treatment ◽  
Interesting Case ◽  
Rare Entity ◽  
Childbearing Age ◽  
Video Assisted ◽  
Thoracoscopic Biopsy ◽  
Thoracic Endometriosis ◽  
Recurrent Pleural Effusion

Thoracic endometriosis is a rare entity, wherein thoracic endometrial tissue deposition occurs. Recurrent pleural effusion is one of its manifestations. Diagnosis and treatment are often challenging, owing to the rarity of the condition and recurrences. We present an interesting case of a young woman of childbearing age who presented with recurrent haemorrhagic pleural effusion. She was referred to our centre after her initial video-assisted thoracoscopic biopsy was inconclusive. She was re-evaluated, and video-assisted thoracoscopic biopsy confirmed thoracic endometriosis. She underwent pleurodesis two times and currently on hormonal treatment, maintaining well.

scholarly journals Thoracic Endometriosis

2018 ◽  
Author(s):  
Mohey M. Saleh, M.D ◽  
Noor Sameh Darwich ◽  
Ejaz Ahmad , M.D.
Keyword(s):  
Pleural Effusion ◽  
Young Female ◽  
Pelvic Endometriosis ◽  
Childbearing Age ◽  
Pleural Biopsy ◽  
Talc Pleurodesis ◽  
Hemorrhagic Pleural Effusion ◽  
History Of ◽  
Thoracic Endometriosis ◽  
Pleural Involvement

Abstract: A recurrent hemorrhagic pleural effusion in a woman during her reproductive years may be the clinical presentation of thoracic endometriosis syndrome (TES) . We report here a case of a recurrent bloody right pleural effusion in a young female who had a history of pelvic endometriosis. Thoracic endometriosis with pleural involvement was confirmed by pleural biopsy which showed focal involvement of functional endometrial tissue within the pleura. The patient underwent pleurectomy and talc pleurodesis without recurrence of the pleural fluid. A hemorrhagic pleural effusion due to thoracic endometriosis may mimic other conditions including pulmonary thromboembolism, trauma, malignancy, tuberculosis, and others. Thoracic endometriosis should be in the differential diagnosis of a bloody pleural effusion in women of childbearing age, particularly in a patient with an established diagnosis of pelvic endometriosis.

scholarly journals Pectoralis Minor Syndrome: Case Presentation and Review of the Literature

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Mohammed Abdallah ◽  
Mohammad Rachad Wehbe ◽  
Elias Elias ◽  
Muhammad Aghiad Kutoubi ◽  
Roger Sfeir
Keyword(s):  
Young Female ◽  
Clinical Findings ◽  
Axillary Vein ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Case Presentation ◽  
Pectoralis Minor ◽  
Appropriate Treatment ◽  
Pectoralis Minor Muscle ◽  
Minor Muscle

We present a case of a healthy young female with axillary vein compression caused by the pectoralis minor muscle. Diagnosis was made by clinical findings and dynamic venography. After pectoralis minor tenotomy, the patient had total resolution of her symptoms. Compression of the axillary vein by the pectoralis minor is a rare entity that needs a careful exam and imaging to reach its diagnosis and establish the appropriate treatment.

Complications of Long-Term Drainage of Fetal Pleural Effusion: Case Report and Review of the Literature

1997 ◽  
Vol 14 (08) ◽  
pp. 443-447 ◽  
Author(s):  
Bernd Wittman ◽  
Kim Martin ◽  
R. Wilson ◽  
Donlim Peacock
Keyword(s):  
Case Report ◽  
Pleural Effusion ◽  
Review Of The Literature

scholarly journals A Case of Hemothorax as Manifestation of Thoracic Endometrial Syndrome

2021 ◽  
Vol 9 ◽  
pp. 232470962110521
Author(s):  
Sandra Patrucco Reyes ◽  
Kwesi Amoah ◽  
Mandeep Singh Rahi ◽  
Kulothungan Gunasekaran
Keyword(s):  
Pleural Effusion ◽  
Diagnostic Laparoscopy ◽  
Young Female ◽  
Benign Disease ◽  
Leuprolide Acetate ◽  
Reproductive Age ◽  
Shortness Of Breath ◽  
Hemorrhagic Pleural Effusion ◽  
Thoracic Endometriosis ◽  
New Onset

Thoracic endometriosis is a rare progression of a mostly benign disease of ectopic endometrial activity involving the pleura and lung. This is a case of a young female who presented with progressive shortness of breath and was found to have significant anemia. Further investigations showed a massive right-sided pleural effusion and ascites. Subsequent thoracentesis and pelvic diagnostic laparoscopy showed a hemorrhagic pleural effusion and ascites, along with dense pelvic adhesions. Pathology was consistent with endometriosis. Patient improved on leuprolide acetate and norethindrone. This case illustrates an important consideration in the differential of a reproductive-age female with new onset shortness of breath and anemia.

Long-Term Hormonal Treatment for Recurrent Catamenial Pneumothorax

2011 ◽  
Vol 3 (3) ◽  
pp. 174-176
Author(s):  
Ozgul Muneyyirci-Delale ◽  
Malini Persad ◽  
Hena Tewari ◽  
Charles Bowers ◽  
Jed Cutler
Keyword(s):  
Rare Complication ◽  
Hormonal Treatment ◽  
Extended Period ◽  
Catamenial Pneumothorax ◽  
Current Therapies ◽  
One Year ◽  
Norethindrone Acetate

Catamenial pneumothorax is a rare complication of endometriosis. Although fatal, no long-term therapies have been revealed to be efficacious in preventing this disorder. This report discusses two cases of catamenial pneumothorax managed with norethindrone acetate over an extended period of time. The patients responded well without recurrence of pneumothorax during treatment. While current therapies are generally used for a six month to one year period, we present a long-term, highly efficacious, and inexpensive treatment for catamenial pneumothorax in patients with endometriosis.

scholarly journals Bilateral Ewing Sarcoma/Primitive Neuroectodermal Tumor of the Breast: A Very Rare Entity and Review of the Literature

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
N. Majid ◽  
M. Amrani ◽  
I. Ghissassi ◽  
M. El Cadi ◽  
M. El Bouzidi ◽  
...  
Keyword(s):  
Primitive Neuroectodermal Tumor ◽  
Malignant Tumors ◽  
Case Reports ◽  
Young Female ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Primitive Neuroectodermal Tumors ◽  
Neuroectodermal Tumors ◽  
Breast Abnormality ◽  
Palpable Breast

Peripheral primitive neuroectodermal tumors (PNET) are rare malignant tumors, affecting mostly children and adolescents and have been described in breast in eight case reports only. In this paper, we present a case of bilateral mammary ES/PNET where distinction between primary and metastatic diseases was discussed through a literature review. The aim of this work is to demonstrate that although rare, the possibility of PNET should be kept in mind while evaluating a palpable breast abnormality in a young female.

scholarly journals Hemoptysis and Endometriosis: An Unusual Association — Case Report and Review of the Literature

2018 ◽  
Vol 40 (05) ◽  
pp. 300-303 ◽  
Author(s):  
Joao Leonardo-Pinto ◽  
Cristina Benetti-Pinto ◽  
Iuri Quagliato ◽  
Daniela Yela
Keyword(s):  
Empirical Therapy ◽  
Rare Condition ◽  
Lung Nodules ◽  
Review Of The Literature ◽  
Deep Endometriosis ◽  
Catamenial Pneumothorax ◽  
Unusual Association ◽  
Catamenial Hemoptysis ◽  
The Right ◽  
Thoracic Endometriosis

AbstractThoracic endometriosis syndrome is a rare condition that includes four entities: catamenial pneumothorax, catamenial hemothorax, catamenial hemoptysis and lung nodules. We describe the case of a 23-year-old woman with complaints of hemoptysis during menstrual period in the two years prior to the appointment. Initially, a treatment for tuberculosis was established with no success. Further investigation showed a 4 mm nodule in the right lung, and the transvaginal ultrasonography indicated the presence of deep endometriosis. Considering the occurrence of symptoms only during menses, an empirical therapy was instituted with remission of the complaints.

Sign in / Sign up

Export Citation Format

Share Document