DOI: 10.12890/2024_004919
Thoracic endometriosis syndrome in a 75-year-old woman
Authors
ajagra@phsi.us
Keywords
Thoracic endometriosis syndrome, pleural mass, post-menopausal femaleAbstract
Thoracic endometriosis syndrome (TES) is a rare condition where endometrial tissue is found in the pleura, parenchyma, and/or diaphragm. Haemoptysis is a common manifestation of pulmonary endometriosis and can be cyclic, aligning with the menstrual cycle. Patients can present with residual cough once menses have stopped. Other manifestations are recurrent pneumothorax and/or pleural effusions associated with menses. On imaging, pulmonary nodules or implants of endometrial tissue along the diaphragm can be present and be confirmed by biopsy. While most cases of TES occur in menstruating females in their thirties on the right side, our case is unique since we report a postmenopausal female with TES on the left side without the typical clinical manifestations.
References
- Rousset-Jablonski C, Alifano M, Plu-Bureau G, Camilleri-Broet S, Rousset P, Regnard JF et al. Catamenial pneumothorax and endometriosis-related pneumothorax: clinical features and risk factors. Human Reproduction 2011;26:2322-2329.
- Kalbi DP, Al Sbihi AF, Manasrah N, Chaudhary AJ, Iqbal S. A Thoracic Endometriosis-Related Catamenial Hemopneumothorax in a Woman With Premature Ovarian Failure. Cureus 2021;13:e17110.
- Jubanyik KJ, Comite F. Extrapelvic endometriosis. Obstet Gynecol Clin North Am 1997;24:411-440.
- Merchant UI, Desai AN, Rao G. De novo thoracic endometriosis in a menopausal women. Indian Journal of Obstetrics and Gynecology Research 2023;10:502-504.
- Azizad-Pinto P, Clarke D. Thoracic endometriosis syndrome: case report and review of the literature. Perm J 2014;18:61.
