Case Report
Year: 2021 | Month: January | Volume: 11 | Issue: 1 | Pages: 209-213
Massive Catamenial Hemothorax: Rare Case of Thoracic Endometriosis Syndrome
Lamya Zaher Al Aamri1, Nasser Alawaid2, Adil Al Kindi3, Akhwand Shakeel Ahmed4, G.Rajasekharan Pillal5
1Internal Medicine Specialist, Sultan Qaboos Hospital, Salalah, Oman.
2Consultant Pulmonologist, Head of Department of Medicine, Sultan Qaboos Hospital, Salalah.
3Consultant Cardiothoracic Surgeon of Sultan Qaboos University, Muscat.
4Senior Specialist Medicine, MRCP, Sultan Qaboos Hospital, Salalah
5Senior Consultant, Histopathologist, Sultan Qaboos Hospital, Salalah.
Corresponding Author: Lamya Zaher Al Aamri
ABSTRACT
Spontaneous hemothorax is only rarely due to thoracic endometriosis (TE). TE is presence of ectopic endometrial tissue in thoracic. It is rare phenomena seen in women of childbearing age with predominantly right-sided hemothorax and temporal relationship to menses. We report a thirty -seven -year-old Omani lady who was admitted in Sultan Qaboos hospital, Salalah with Spontaneous hemothorax and dysmenorrhea. She had past history of primary infertility due to endometriosis and she lost follow up. Therefore, TE was suspected and was introduced hormone therapy after chest drain inserted. She had recurrent hemothorax after discharge subsequently, she underwent VATS which help visualization of endometrial lesions with Pleurectomy of the involved areas and mechanical decortication and pleurodesis using scratch pad were done. Histopathology confirms diagnosis of TE. She continued hormonal therapy and repeated image showed no recurrence.
Key words: Spontaneous hemothorax; Thoracic endometriosis; thoracic endometriosis syndrome; Video-assisted thoracoscopic surgery.