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- S D Moffatt and John D Mitchell.
- Department of Cardiothoracic Surgery, Stanford University, Stanford, CA, USA.
- Eur J Cardiothorac Surg. 2002 Aug 1;22(2):321-3.
AbstractWe present a patient who was referred to our thoracic surgical service with a massive, loculated right pleural effusion accompanied by significant ascites. Thoracotomy and decortication were required and pleural biopsy led to a diagnosis of endometriosis. Aggressive medical therapy was subsequently initiated but hysterectomy with bilateral oophorectomy was required due to poor symptom control and the inability to rule out a neoplastic process. There are less than 15 reported cases of endometriosis presenting with both pleural effusion and ascites. Thoracic surgeons presented with such a scenario should be cognizant of this pathological entity.
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