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When Menstruation Meets the Pleura: A Rare Case of Catamenial Hemothorax and Thoracic Endometriosis and a Literature Review

Year: 2024

Type: article

Abstract: Catamenial hemothorax is a rare manifestation of thoracic endometriosis, characterized by blood in the pleural cavity associated with menstrual cycles. We present the case of a 42-year-old woman with recurrent right-sided chest pain and dyspnea coinciding with menstruation. Imaging revealed a large pleural effusion and hemothorax. Diagnostic video-assisted thoracoscopic surgery (VATS) confirmed thoracic endometriosis. The patient received a combination of hormonal therapy and VATS. Follow-ups over 36 months showed significant symptom improvement and resolution of pleural effusion. This case emphasizes the need to consider thoracic endometriosis in women with menstrual-related hemothorax.

Source: Cureus

DOI: 10.7759/cureus.72496

Authors: Bouchra Daher, Fadila Kouhen, Oussama Afandi, Youssef Mahdi, Najiba Yassine

Institutions: Université Mohammed VI des Sciences et de la Santé, Hôpital Universitaire International Cheikh Khalifa, Institut National d'Oncologie

Language: English

Topic: Endometriosis Research and Treatment

Subfield: Reproductive Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4403799424