Medical thoracoscopy in thoracic endometriosis: a diagnostic tool in a rare scenario

Nashin Najeeb; Athul Thulasi; Rajathilakam Natarajan Kumari; Kiran Jose; Angel Varghese

doi:10.18203/2320-6012.ijrms20261714

Authors

Nashin Najeeb Department of Pulmonology, Travancore Medical College, Kollam, Kerala, India
Athul Thulasi Department of Pulmonology, Travancore Medical College, Kollam, Kerala, India
Rajathilakam Natarajan Kumari Department of Pulmonology, District Hospital, Kollam, Kerala, India
Kiran Jose Department of Pathology, Travancore Medical College, Kollam, Kerala, India
Angel Varghese District Hospital Kollam, Kerala, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20261714

Keywords:

Thoracic endometriosis syndrome, Catamenial pneumothorax, Medical thoracoscopy, Pleural endometriosis, Secondary infertility, Hormonal and surgical management

Abstract

Medical thoracoscopy is a tool employed in the evaluation of pleural effusions when initial diagnostic thoracocentesis and standard conventional therapies prove to be ineffective. Thoracic endometriosis (TE) is an uncommon form of extra pelvic endometriosis, characterized by endometrial cells in thoracic cavity which can be parenchymal, pleural and diaphragmatic. TE typically manifest as catamenial pneumothorax followed by catamenial hemothorax, catamenial hemoptysis and occasionally as pulmonary nodules. We present a case involving a 29 year old female experiencing secondary infertility and recurrent right sided chest pain and dyspnea since three months. Chest radiography revealed right hydropneumothorax. As her symptoms correlated cyclically with menstruation, a high suspicion of TE was made and later confirmed on histopathology by medical thoracoscopy.

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