Thoracic endometrial syndrome with unilateral exudative pleural effusion
Wong, Carol Booth, Samuel Hallsor Sahal, Adeel
Wong, Carol
Booth, Samuel Hallsor
Sahal, Adeel
Abstract
A woman in her 40s presented with exertional dyspnoea with an absence of haemoptysis, cough, fever and weight loss. The patient had a medical history of extensive endometriosis. Investigations revealed a large right-sided pleural effusion. The effusion was aspirated and was exudative in nature.A contrast-enhanced CT thorax was performed to help exclude dual pathology. The only positive finding was bilateral breast nodules, subsequently found to be benign fibroadenomas on histological analysis of biopsy samples.After malignancy was ruled out as a cause, the patient was referred for medical thoracoscopy for a biopsy and other investigations. Histology demonstrated the presence of endometrial tissue in the pleura and thereby confirmed the diagnosis of thoracic endometrial syndrome.Video-assisted thoracoscopic surgery repair of diaphragm and talc pleurodesis was carried out in an uncomplicated procedure and the patient was discharged with good recovery.
MIDER Authors
Affiliations
Sandwell and West Birmingham NHS Trust; University of Birmingham; University Hospitals Birmingham NHS Foundation Trust; University of Birmingham College of Medical and Dental Sciences
Citations
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Date
2024-07-16
Type
Article
Subject
Collections
Citation
Wong C, Booth SH, Thein OS, Sahal A. Thoracic endometrial syndrome with unilateral exudative pleural effusion. BMJ Case Rep. 2024 Jul 16;17(7):e261201. doi: 10.1136/bcr-2024-261201