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Rare disease
CASE REPORT
Rare case of thoracic endometriosis presenting with lung nodules and pneumothorax
  1. Jessica Gates1,
  2. Akhilesh Sharma1,
  3. Arunesh Kumar1,2
  1. 1Department of Respiratory Medicine, Barking Havering and Redbridge University Hospitals NHS Trust, Ilford, UK
  2. 2Department of Respiratory Medicine, Paras Hospitals, Delhi, India
  1. Correspondence to Dr Jessica Gates, jessica.gates3{at}nhs.net

Summary

We present the case of a 34-year-old Nigerian woman who was referred to the Respiratory team with a 12-month history of breathlessness. She was concurrently being investigated for an abdominal mass and rectal and vaginal bleeding. Consequently, she underwent cross-sectional imaging of her chest, abdomen and pelvis, revealing a small right-sided pneumothorax and right lower lobe pleural-based lesion. Shortly thereafter, she was admitted to the hospital with chest pain and required chest drain insertion. This partially treated her pneumothorax but she required referral to a cardiothoracic centre for definitive diagnosis and to manage her non-resolving pneumothorax. Biopsies from the video-assisted thoracoscopic surgery confirmed the very rare diagnosis of thoracic endometriosis.

  • respiratory medicine
  • obstetrics and gynaecology
  • cardiothoracic surgery

https://doi.org/10.1136/bcr-2018-224181

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    Footnotes

    • Contributors JG has produced the report and literature review. AS assisted in the production of the report and was also involved in the care of the patient. AK was the responsible consultant for the care of the patient and oversaw the creation of the report.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.