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Pathological diagnosis of thoracic endometriosis
  1. Seline Keijzer1,
  2. Wolter Oosterhuis2,
  3. Hans M Hazelbag3 and
  4. Tess Meuleman4
  1. 1Department of Gynaecology and Obstetrics, Medical Centre Haaglanden, The Hague, The Netherlands
  2. 2Department of Surgery, Haaglanden Medical Centre, The Hague, The Netherlands
  3. 3Department of Pathology, Medical Centre Haaglanden, The Hague, The Netherlands
  4. 4Department of Gynaecology and Obstetrics, Radboudumc, Nijmegen, The Netherlands
  1. Correspondence to Seline Keijzer; selinekeijzer{at}hotmail.com

Abstract

A 26-year-old woman, who underwent abdominal surgery because of pelvic endometriosis, suffered from upper abdominal pain, fever and dyspnoea 2 days postoperatively. Paralytic ileus and right-sided pneumothorax were revealed. Treatment with a chest drain was not successful and, thus, a video-assisted thoracoscopic surgery was performed, revealing endometriosis-like lesions. Basic histopathology did not confirm the visual diagnosis, but additional immunohistochemical staining for oestrogen and progesterone receptors showed positive reaction in epithelial lung cells, thus proved the diagnosis thoracic endometriosis. A resection of the apex of the right upper lobe and pleurodesis by talc poudrage was performed after which a mesh graft was applied on the diaphragm. After 5 years of follow-up, no recurrent pneumothorax occurred.

  • pneumothorax
  • cardiothoracic surgery
  • pathology
  • obstetrics and gynaecology

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Footnotes

  • Contributors SK: drafting the work, contributed to the analysis and interpretation of reviewed articles, approved the final version of the article. WO: surgeon of the patient described in the case, contributed to the conception of the article, critically revised the article and approved the final version of the article. HMH: contributed to the conception of the article, critically revised the article and approved the final version of the article. TM: contributed to the conception of the article, contributed to the analysis and interpretation of reviewed article and approved the final version of the article.

  • 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.

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

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