Case reports

Thoracic endometriosis syndrome

D Guidozzi, E Rockson

Abstract


A 35-year-old nulliparous patient with secondary infertility presented to a tertiary hospital in Johannesburg with abnormal uterine bleeding, and a history of two previous right-sided haemopneumothoraces. The second episode had been related to her menstruation, and required the insertion of an intercostal drain in order to treat the large haemothorax. A pleural biopsy revealed pleural endometriosis. She was treated with dienogest (Visanne) on discharge, and was awaiting follow-up with the cardiothoracic surgeons for continued and definitive management.


Authors' affiliations

D Guidozzi, Department of Obstetrics and Gynaecology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

E Rockson, Department of Obstetrics and Gynaecology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

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Keywords

Thoracic endometriosis syndrome; catamenial pneumothorax; catamenial haemothorax

Cite this article

South African Journal of Obstetrics and Gynaecology 2018;24(3):90-94. DOI:10.7196/sajog.1340

Article History

Date submitted: 2018-04-03
Date published: 2018-12-14

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