scholarly journals A Rare Case of Cyclical Hemothorax: Thoracic Endometriosis Syndrome

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Muhammad Shabbir Rawala ◽  
Muhammad Farhan Khaliq ◽  
Muhammad Asif Iqbal ◽  
S. Tahira Shah Naqvi ◽  
Kinaan Farhan ◽  
...  
Keyword(s):  
Chest Pain ◽  
Pleural Effusion ◽  
Reproductive Age ◽  
Common Disease ◽  
Pleuritic Chest Pain ◽  
Rare Presentation ◽  
Ct Guided ◽  
Endometrial Cells ◽  
Wide Range ◽  
Thoracic Endometriosis

Endometriosis is a common condition in which endometrial cells and stroma are deposited in extrauterine sites. Its prevalence has been estimated to be 10% of reproductive age females. It is commonly found in the pelvis; however, it may be found in the abdomen, thorax, brain, or skin. Thoracic involvement is a relatively rare presentation of this common disease. Thoracic endometriosis commonly presents as pneumothorax in 73% of patients. A rarer presentation of thoracic endometriosis is hemothorax (<14%) or hemoptysis (7%). Thoracic endometriosis is an uncommon cause of a pleural effusion. We present a case of 28-year-old African American female with no other medical conditions. She presented to the hospital with worsening right-sided pleuritic chest pain, dyspnea, and menorrhagia. She had been complaining of pleuritic chest pain for 5 years, the onset of which corresponds to the start of her menstrual cycle and is relieved with cessation of menses. Initial laboratory studies revealed a severe microcytic anemia with normal coagulation profile. Chest X-ray showed small right pleural effusion and suspicious for airspace disease. A computed tomography (CT) of chest was ordered for further clarification and identified large right pleural effusion. CT-guided thoracentesis removed 500 ml of serosanguinous fluid consisting of blood elements. There can be multiple sites involved with endometriosis and can present with wide range of symptoms that occur periodically with menses in young woman. The history and pleural fluid findings of this case are suggestive of Thoracic Endometriosis Syndrome. The diagnosis of this is often missed or delayed by clinicians, which can result in recurrent hospitalization and other complications. As internists we should be suspicious of atypical presentations of endometriosis and treat them early before complications develop. This case also highlights the importance of suspecting atypical etiologies for pleural effusion.

scholarly journals Pleural Sarcoidosis and Occult Lymphatic Anthracosis: An Unusual Symptomatic Association

2020 ◽  
Author(s):  
Rosa Alves ◽  
Bruno Sousa ◽  
Francisco d'Orey ◽  
Pedro Sequeira ◽  
Ana Oliveira ◽  
...  
Keyword(s):  
Chest Pain ◽  
Pleural Effusion ◽  
Inflammatory Disease ◽  
Clinical Presentation ◽  
Unknown Aetiology ◽  
Pleuritic Chest Pain ◽  
Middle Aged ◽  
Bronchial Disease ◽  
Wide Range ◽  
Granulomatous Diseases

Sarcoidosis is a chronic multisystemic inflammatory disease of unknown aetiology. Virtually any organ or system can be involved, resulting in a wide range of clinical presentation. Pleural sarcoidosis is rare. Pleural effusion can only be attributed to pleural sarcoidosis in the presence of pleural non-caseating epithelioid granulomas and after excluding other granulomatous diseases. Anthracosis is a pneumoconiosis associated with thoracic adenopathies and bronchial disease, and it is usually asymptomatic. The authors present a case of a middle-aged man hospitalized due to cough, right-sided pleuritic chest pain and trepopnoea.

Cryptogenic organising pneumonia: an unusual cause of pleuritic chest pain

2021 ◽  
Vol 14 (1) ◽  
pp. e238514
Author(s):  
Rebecca Ceci Bonello ◽  
Etienne Ceci Bonello ◽  
Christian Vassallo ◽  
Edward Giles Bellia
Keyword(s):  
Chest Pain ◽  
Inflammatory Markers ◽  
White Cell Count ◽  
Clinical Status ◽  
Lower Lobe ◽  
Pleuritic Chest Pain ◽  
Ct Guided ◽  
Atypical Pathogens ◽  
Ct Guided Biopsy ◽  
The Right

A 76-year-old woman presented with a 2-hour history of pleuritic chest pain with no other associated symptoms. Blood investigations revealed raised inflammatory markers and an elevated white cell count. On chest radiograph, an airspace shadow indicative of a consolidation was prominent. This was followed by a CT scan of her thorax which showed a spiculated lesion in the right upper lobe, a lesion in the posterior segment of the left lower lobe and mildly enlarged right hilar lymph nodes. She was started on dual antibiotic therapy; however, the patient’s clinical status and inflammatory markers did not improve. A bronchoscopy was performed which excluded malignancy and atypical pathogens. CT-guided biopsy confirmed the presence of cryptogenic organising pneumonia. Prednisolone 50 mg daily was prescribed with quick resolution of symptoms.

Rare Presentation of Pleuritic Chest Pain

CHEST Journal ◽  
2015 ◽  
Vol 148 (4) ◽  
pp. 623A
Author(s):  
Kulothungan Gunasekaran ◽  
Swetha Murthi ◽  
Narmadha Panneerselvam ◽  
Nazir Lone ◽  
Karen McGinnis
Keyword(s):  
Chest Pain ◽  
Pleuritic Chest Pain ◽  
Rare Presentation

scholarly journals A Rapidly Progressing Pleural Effusion within 24 Hours: A Case Report

2021 ◽  
Author(s):  
Bassem Alhariri ◽  
Ayisha Ameen ◽  
Abdulqadir Nashwan
Keyword(s):  
Case Report ◽  
Chest Pain ◽  
Pleural Effusion ◽  
Shoulder Pain ◽  
Left Shoulder ◽  
Shortness Of Breath ◽  
Pleuritic Chest Pain

Patients with pleural effusion are mostly presenting with shortness of breath and pleuritic chest pain. This report describes a case of PE who presented with left shoulder pain and was found to have rapidly accumulating massive effusion within 24 hours of presentation. Thoracocentesis was performed a showed an exudative picture

scholarly journals Chest Pain? An Unusual Presentation of Vertebral Osteomyelitis

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Cristian Landa ◽  
Stanley Giddings ◽  
Pramod Reddy
Keyword(s):  
Tissue Culture ◽  
Pulmonary Embolism ◽  
Chest Pain ◽  
Vertebral Osteomyelitis ◽  
Cord Compression ◽  
Diagnostic Challenge ◽  
Rare Presentation ◽  
Ct Guided ◽  
Ct Guided Biopsy ◽  
Rule Out

We present a case of vertebral osteomyelitis presenting as chest pain. The patient initially underwent a CT chest angiogram to rule out a pulmonary embolism, which incidentally showed a soft tissue vertebral mass at T3-T4 disk space. Subsequent thoracic vertebral MRI was consistent with osteomyelitis with cord compression. Tissue culture from a CT-guided biopsy grew MRSA. The patient was successfully treated with Vancomycin. This is a rare presentation of vertebral osteomyelitis which poses an interesting diagnostic challenge.

BREAST TUBERCULOSIS-A RARE PRESENTATION OF COMMON DISEASE WITH DIAGNOSTIC AND THERAPEUTIC CHALLENGE.

2020 ◽  
Vol 4 (4) ◽  
Author(s):  
Swagata Brahmachari ◽  
Shashwati Nema ◽  
Padma . ◽  
VK Ramnani ◽  
Vaishali Bhagat ◽  
...  
Keyword(s):  
Low Socioeconomic Status ◽  
Predictive Value ◽  
Extrapulmonary Tuberculosis ◽  
Reproductive Age ◽  
Smear Microscopy ◽  
Common Disease ◽  
Rare Presentation ◽  
Idiopathic Granulomatous Mastitis ◽  
Breast Tuberculosis ◽  
Caseating Granuloma

Background: Breast tuberculosis is a rare extra pulmonary tuberculosis presentation usually misdiagnosed as carcinoma, pyogenic abscess or idiopathic granulomatous mastitis. Detection of tubercular bacilli by ZN stain, culture and CBNAAT along with caseating granuloma on histopathology helps in diagnosis. Aims and Objectives: To study the clinico-pathological characteristic of breast tuberculosis and diagnostic accuracy of CBNAAT for early and specific diagnosis in reference to histopathological test  Material and Methods: 38 cases of BTB between August2012 to July 2017 were studied. Culture for acid-fast bacilli, smear positivity on Z-N staining, CBNAAT, and cytological and histological examination was done for confirmation.  Results: Prevalence of BTB in this study was found to be 3.95% .The risk factors were reproductive age (20-35), multiparity, lactation and low socioeconomic status. Unilateral lump in the upper outer and central quadrant of the breast was the commonest observation. Only 34.2% were diagnosed provisionally as BTB rest 73.68% were misdiagnosed as fibroadenoma, breast abscess and malignancy Clinically nodulo-caseous variety(55.6 %) disseminated (18.4%) and tubercular abscess (26.3%) were seen. Sensitivity of ZN staining, culture, FNAC and histopathology is 15.8%,5.8%, 74% ,100%respectively. Sensitivity, specificity, positive predictive value, and negative predictive value for the CBNAAT test were 81.818%, 93.103%, 93.10%, and 81.82% respectively.39.4% were cured completely with ATT with 60.52% with residual lesions needed surgery Conclusion: This study highlights the importance of early diagnosis and aggressive medical and if required surgical management to cure this disease. CBNAAT should be used as an additional test to conventional smear microscopy, culture, FNAC and histology. Keywords: Breast tuberculosis, CBNAAT, Extrapulmonary tuberculosis, breast lump

Recurrent pleural effusion and pain in the shoulder in women of reproductive age could have a gynecological cause: case series

2019 ◽  
Vol 8 (2) ◽  
Author(s):  
Luka Matak ◽  
Ivan Bačić ◽  
Jakov Mihanović ◽  
Nataša Lisica-Šikić ◽  
Branko Dukić ◽  
...  
Keyword(s):  
Pleural Effusion ◽  
Case Series ◽  
Uterine Cavity ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Gynecological Disease ◽  
The Right ◽  
Thoracic Endometriosis ◽  
Recurrent Pleural Effusion ◽  
Treatment And Diagnosis

Abstract Background Endometriosis is a benign disorder defined as the presence of endometrial glands and stroma outside of the uterine cavity. It has been estimated that approximately 10% of the women of reproductive age and 30–50% of the women with infertility are affected. Case presentation We report two nulliparous patients with recurrent pleural effusion and pain in the right shoulder highly suspicious for thoracic endometriosis syndrome (TES). Conclusion The objective of this study was to present patients with unusual symptoms related to gynecological disease. The second aim was to show our single institution experience as a second level hospital in terms of treatment and diagnosis of TES and diaphragmatic endometriosis.

scholarly journals Recurrent chest pain as a rare presentation of extra-pelvic endometriosis

2021 ◽  
Author(s):  
Mousa Hussein ◽  
Mutaz Al bakri ◽  
Shanima Ismail ◽  
Abbas Alabbas ◽  
Sameer Alhyassat
Keyword(s):  
Clinical Practice ◽  
Chest Pain ◽  
Pleural Effusion ◽  
Rare Condition ◽  
Pelvic Endometriosis ◽  
Rare Presentation

Periodic chest pain, with bloody pleural effusion, should raise the suspicion of pleural endometriosis as a well-known, but rare condition in clinical practice.

scholarly journals Isolated Unilateral Pleural Effusion Without Ascites in Late Onset Ovarian Hyperstimulation Syndrome: A Case Report and Review of Literature

2019 ◽  
Vol 01 (02) ◽  
pp. 69-72
Author(s):  
Shashwati Sen ◽  
Tze Tein Yong ◽  
Su Ling Yu ◽  
Hemashree Rajesh
Keyword(s):  
Pleural Effusion ◽  
Subclinical Hypothyroidism ◽  
Late Onset ◽  
Treatment Options ◽  
Reproductive Age ◽  
Singleton Pregnancy ◽  
Rare Presentation ◽  
Vitro Fertilization ◽  
Asymptomatic Patients

Isolated pleural effusion is a rare presentation of severe OHSS. Two to four percent of women of reproductive age have subclinical hypothyroidism which is an uncommon association of late onset iatrogenic OHSS. This report describes an unusual patient with isolated unilateral pleural effusion and subclinical hypothyroidism as the only manifestation of late onset OHSS in a singleton pregnancy following in vitro fertilization (IVF). We have summarized current literature related to isolated pleural effusion in late OHSS and evaluated its pathophysiology and treatment options. Albumin infusion may be considered as a plasma expander whenever there is a planned third space drainage. Thyroid profile test in asymptomatic patients planning IVF will help to identify subclinical hypothyroidism. OHSS is a self-limiting condition and a timely diagnosis with aggressive management can be lifesaving.

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