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J. Obstet. Gynaecol. Res. · Jul 2017
Case ReportsRefractory thoracic endometriosis syndrome with bilateral hemothorax.
- Lannah L Lua, Kevin Tran, and Jyoti Desai.
- Department of Obstetrics and Gynecology, University of Nevada School of Medicine, Las Vegas, Nevada, USA.
- J. Obstet. Gynaecol. Res. 2017 Jul 1; 43 (7): 1227-1231.
AbstractThoracic 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.© 2017 Japan Society of Obstetrics and Gynecology.
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