Sharma Parul, Karmakar Saurabh, Wani Abdul Raouf, Venugopal Vinay, Maji Debapriyo
Department of Pulmonary Medicine, All India Institute of Medical Sciences, Patna, India.
Lung India. 2025 Mar 1;42(2):147-150. doi: 10.4103/lungindia.lungindia_576_24. Epub 2025 Feb 27.
Endometriosis is an ectopic implantation of uterine tissue and can affect the thoracic cavity, resulting in Thoracic Endometriosis Syndrome (TES). TES is rare and presents with catamenial pneumothorax, haemothorax, and hemoptysis, often coinciding with menstruation. We report a case of a 46-year-old female with a decade-long history of hemoptysis and periodic chest pain associated with her menstrual cycle. High-resolution CT scans revealed persistent pneumothorax and pleural nodules. A dry thoracoscopy was performed, and biopsies confirmed the diagnosis of TES through histopathology and immunohistochemistry. This case highlights the importance of considering TES in women with cyclic respiratory symptoms and demonstrates the diagnostic value of dry thoracoscopy in benign conditions of the pleura. Raising awareness among clinicians is crucial for timely diagnosis and management of TES, reducing patient morbidity.
子宫内膜异位症是子宫组织的异位植入，可累及胸腔，导致胸腔子宫内膜异位症综合征（TES）。TES较为罕见，表现为经期气胸、血胸和咯血，常与月经同时出现。我们报告一例46岁女性，有长达十年的咯血病史，并伴有与月经周期相关的周期性胸痛。高分辨率CT扫描显示持续性气胸和胸膜结节。进行了干式胸腔镜检查，活检通过组织病理学和免疫组化确诊为TES。该病例强调了对于有周期性呼吸道症状的女性考虑TES的重要性，并证明了干式胸腔镜检查在胸膜良性疾病中的诊断价值。提高临床医生的认识对于TES的及时诊断和管理至关重要，可降低患者的发病率。
