Thoracic Endometriosis
Abstract
This is a report of an unusual patient who had four of the five manifestations of thoracic endometriosis, including right pneumothorax, left hemothorax, chest pain, and hemoptysis. This patient shows that recurrence of symptoms can occur while a patient is receiving hormonal replacement therapy even after hysterectomy and bilateral salpingo-oophorectomy; estrogen replacement should probably be delayed for several months to allow complete regression of the ectopic endometrial tissue. Alternatively, chemical pleurodesis can be effective in treating recurrent pneumothorax or hemothorax while the patient is receiving hormonal replacement. Bilateral pleural involvement and hemoptysis suggest microembolization of endometrial tissue as the pathogenic mechanism for thoracic endometriosis.
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Bilateral salpingo-oophorectomy with or without hysterectomy does not address dormant endometrial implants that may become active following exogenous estrogen administration.
“However, this approach does not address dormant endometrial implants that may become active following exogenous estrogen administration.8,30,66”
From Thoracic Endometriosis Syndrome: A Review of Diagnosis and Management (2019) · cites this paper as [30]
Catamenial hemothorax is predominantly right-sided.
“It is predominantly right-sided, although rare cases of left-sided hemothorax have been reported.30”
From Thoracic Endometriosis Syndrome: A Review of Diagnosis and Management (2019) · cites this paper as [30]
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Thoracic endometriosis syndrome: New observations from an analysis of 110 cases
Joseph, J., & Sahn, S. A. (1996) · The American Journal of Medicine · doi:10.1016/s0002-9343(97)89454-5 · Cited by 466 · see citing works
Self-citationThoracic Endometriosis Syndrome: A Review of Diagnosis and Management
Nezhat, C., Lindheim, S. R., Backhus, L., Vu, M., Vang, N., Nezhat, A., & Nezhat, C. (2019) · JSLS : Journal of the Society of Laparoendoscopic Surgeons · doi:10.4293/jsls.2019.00029 · Cited by 189 · see citing works
The management of menopause in women with a history of endometriosis: A systematic review
Gemmell, L. C., Webster, K. E., Kirtley, S., Vincent, K., Zondervan, K. T., & Becker, C. M. (2017) · Human Reproduction Update · doi:10.1093/humupd/dmx011 · Cited by 154 · see citing works
Flieder, D. B., Moran, C. A., Travis, W. D., Koss, M. N., & Mark, E. J. (1998) · Human Pathology · doi:10.1016/s0046-8177(98)90021-1 · Cited by 143 · see citing works
Thoracic endometriosis syndrome: CT and MRI features
Rousset, P., Rousset-Jablonski, C., Alifano, M., Mansuet-Lupo, A., Buy, J.-N., & Revel, M.-P. (2014) · Clinical Radiology · doi:10.1016/j.crad.2013.10.014 · Cited by 134 · see citing works
Channabasavaiah, A. D., & Joseph, J. V. (2010) · Medicine · doi:10.1097/md.0b013e3181df67d5 · Cited by 124 · see citing works
Self-citationHONORÉ, G. M. (1999) · Clinical Obstetrics and Gynecology · doi:10.1097/00003081-199909000-00021 · Cited by 100 · see citing works
Nezhat, C., Nicoll, L. M., Bhagan, L., Huang, J. Q., Bosev, D., Hajhosseini, B., & Beygui, R. E. (2009) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2009.06.012 · Cited by 64 · see citing works
Catamenial pneumothorax caused by thoracic endometriosis
Maniglio, P., Ricciardi, E., Meli, F., Vitale, S. G., Noventa, M., Vitagliano, A., Valenti, G., La Rosa, V. L., Laganà, A. S., & Caserta, D. (2018) · Radiology Case Reports · doi:10.1016/j.radcr.2017.09.003 · Cited by 41 · see citing works
- Authors
- Joseph, J., Reed, C. E., & Sahn, S. A.
- Affiliations
- Medical University of South Carolina (US)
- Corresponding author
- Joseph, Jos
- Venue
- Chest
- Publisher
- Elsevier BV
- Published
- 1994-12
- Volume
- 106
- Issue
- 6
- Pages
- 1894-1896
- ISSN
- 0012-3692 (ISSN-L)
- OpenAlex
- W2082279902
- Cited by
- 65
- References
- 0
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 2 · 2023: 2 · 2021: 1 · 2020: 2 · 2019: 3 · 2018: 1 · 2017: 4 · 2016: 1 · 2015: 1 · 2014: 1 · 2013: 3 · 2012: 2
- FWCI
- 1.76
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- CHEST Journal (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Pleural and Pulmonary Diseases
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Medical Imaging and Pathology Studies
- Keywords
- thoracic endometriosis, pneumothorax, hemothorax, hemoptysis, chest pain, hormone replacement therapy, hysterectomy, bilateral salpingo-oophorectomy, chemical pleurodesis, endometriosis recurrence
- MeSH terms
- Adult, Endometriosis, Fallopian Tubes, Female, Humans, Hysterectomy, Ovariectomy, Radiography, Recurrence, Talc, Thoracic Diseases, Estrogen Replacement Therapy, Pleurodesis
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