Rare case of thoracic endometriosis presenting with lung nodules and pneumothorax. (9th March 2018)

• Record Type: Journal Article
• Authors: Gates, Jessica; Sharma, Akhilesh; Kumar, Arunesh
• Is Part Of: BMJ case reports. Volume 2018
• Publication Date: 2018-03-09
• Subjects: respiratory medicine -- obstetrics and gynaecology -- cardiothoracic surgery; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2018-224181
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : We present the case of a 34-year-old Nigerian woman who was referred to the Respiratory team with a 12-month history of breathlessness. She was concurrently being investigated for an abdominal mass and rectal and vaginal bleeding. Consequently, she underwent cross-sectional imaging of her chest, abdomen and pelvis, revealing a small right-sided pneumothorax and right lower lobe pleural-based lesion. Shortly thereafter, she was admitted to the hospital with chest pain and required chest drain insertion. This partially treated her pneumothorax but she required referral to a cardiothoracic centre for definitive diagnosis and to manage her non-resolving pneumothorax. Biopsies from the video-assisted thoracoscopic surgery confirmed the very rare diagnosis of thoracic endometriosis.