Thoracic endometriosis

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Case Report: Thoracic Endometriosis Student’s NameDepartment of Internal medicine, Division of Pulmonary and Critical care, Good Samaritan hospital. Wright state University, Dayton, Ohio, USA.Student’s Contact Info.Professor’s Name Wd Count: 1099 Abstract Pleural effusion due to Thoracic endometriosis is a rare occurrence. It is characterized by bloody pleural fluid that occurs in women especially in the years when they are reproductive and usually referred to ‘catamenial hemothorax”. It is defined by the occurrence of functional endometrial tissue in pleura. However, the spectrum of Thoracic endometriosis (TE) is vast and can involve, in addition to pleura, the lung parenchyma, tracheobronchial airways, Diaphragm, and pericardium. Clinical presentation of TE can be a recurrent pneumothorax, hemothorax, hemopneumothorax, hemoptysis or pulmonary nodule. The primary symptoms include chest pain, dyspnea, and hemoptysis. Diagnosis is usually deferred for several years after the symptoms of the condition start to show. The pleural effusion in TE is predominantly right side. We described a 33-year-old African American female non –smoker. The female had a history of chronic recurrent pelvic pain and pelvic endometriosis, followed in infertility clinic, and emerged to have recurrent right-sided pleuritic pains in the chest, and worsening dyspnea. She was diagnosed with right-sided bloody pleural effusion. Pleural biopsy revealed the focal involvement of endometrial stromal tissue consistent with Pleural endometriosis. The patient underwent Pleurectomy and Talc pleurodesis with no recurrence of pleural effusion after six months follow up. Keywords:

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