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Refractory thoracic endometriosis syndrome with bilateral hemothorax

The journal of obstetrics and gynaecology research | 16 May 2017

LL Lua, K Tran and J Desai
Abstract
Thoracic endometriosis syndrome (TES) is a rare disorder presenting with catamenial pneumothorax, hemothorax, hemoptysis or pulmonary nodules. Bilateral involvement is uncommon, and only a very few cases have been reported in the literature. We report a case of bilateral catamenial hemothorax in a patient with recurrent thoracic endometriosis. Despite multiple surgical interventions, the patient continued to develop hemopneumothorax coinciding with menses. Remission was finally achieved with the addition of gonadotropin-releasing hormone agonist, highlighting the effectiveness of postoperative adjuvant hormone therapy and supporting a combined surgical and medical approach in the treatment of TES in patients who desire future fertility.
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Concepts
Endometriosis, Gonadotropin-releasing hormone agonist, Patient, Pulmonary contusion, Hemopneumothorax, Pulmonology, Pneumothorax, Catamenial pneumothorax
MeSH headings
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