Thoracic Endometriosis Syndrome in a 75-Year-Old Woman.

Q3 Medicine
European journal of case reports in internal medicine Pub Date : 2024-11-25 eCollection Date: 2024-01-01 DOI:10.12890/2024_004919
Amritpal S Jagra, Ruhma Ali, Alan Klukowicz, Hari Sharma, Richard Miller
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引用次数: 0

Abstract

Thoracic endometriosis syndrome (TES) is a rare condition where endometrial tissue is found in the pleura, parenchyma, and/or diaphragm. Haemoptysis is a common manifestation of pulmonary endometriosis and can be cyclic, aligning with the menstrual cycle. Patients can present with residual cough once menses have stopped. Other manifestations are recurrent pneumothorax and/or pleural effusions associated with menses. On imaging, pulmonary nodules or implants of endometrial tissue along the diaphragm can be present and be confirmed by biopsy. While most cases of TES occur in menstruating females in their thirties on the right side, our case is unique since we report a postmenopausal female with TES on the left side without the typical clinical manifestations.

Learning points: Physician awareness about thoracic endometriosis appearing as a lung mass on the left side in a postmenopausal woman is essential to aid in prompt diagnosis and management of this rare pathology.

一名 75 岁妇女的胸腔子宫内膜异位症综合征
胸子宫内膜异位症(TES)是一种罕见的情况,在胸膜,实质和/或隔膜中发现子宫内膜组织。咯血是肺子宫内膜异位症的常见表现,可以是周期性的,与月经周期一致。月经停止后,患者可出现残余咳嗽。其他表现为复发性气胸和/或与月经有关的胸腔积液。在影像学上,沿横膈膜可出现肺结节或子宫内膜植入物,并可通过活检证实。虽然大多数TES病例发生在30多岁的月经期女性右侧,但我们的病例是独特的,因为我们报告的是绝经后女性左侧TES,没有典型的临床表现。学习要点:医生对绝经后妇女胸部子宫内膜异位症表现为左侧肺肿块的认识,有助于及时诊断和治疗这种罕见的病理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.10
自引率
0.00%
发文量
166
审稿时长
8 weeks
期刊介绍: The European Journal of Case Reports in Internal Medicine is an official journal of the European Federation of Internal Medicine (EFIM), representing 35 national societies from 33 European countries. The Journal''s mission is to promote the best medical practice and innovation in the field of acute and general medicine. It also provides a forum for internal medicine doctors where they can share new approaches with the aim of improving diagnostic and clinical skills in this field. EJCRIM welcomes high-quality case reports describing unusual or complex cases that an internist may encounter in everyday practice. The cases should either demonstrate the appropriateness of a diagnostic/therapeutic approach, describe a new procedure or maneuver, or show unusual manifestations of a disease or unexpected reactions. The Journal only accepts and publishes those case reports whose learning points provide new insight and/or contribute to advancing medical knowledge both in terms of diagnostics and therapeutic approaches. Case reports of medical errors, therefore, are also welcome as long as they provide innovative measures on how to prevent them in the current practice (Instructive Errors). The Journal may also consider brief and reasoned reports on issues relevant to the practice of Internal Medicine, as well as Abstracts submitted to the scientific meetings of acknowledged medical societies.
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