Park Sarah S, Peterson Justin
Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, USA.
Cureus. 2025 Aug 6;17(8):e89503. doi: 10.7759/cureus.89503. eCollection 2025 Aug.
Extra-pelvic endometriosis, defined as the presence of endometrial tissue or stroma outside of the pelvic cavity, is a rare cause of hemothorax and hemoperitoneum. Here, we present a case of a 34-year-old woman with a history of endometriosis who experienced recurrent, cyclical episodes of hemorrhagic pleural effusions and ascites. Despite multiple surgeries to address the ectopic endometrial implants, her symptoms persisted for years without definitive resolution, illustrating the challenges of treatment even after the diagnosis has been established. This case highlights the rare manifestations of extra-pelvic endometriosis and the long-term complications they may pose. Early recognition and intervention are crucial to prevent chronic sequelae and reduce morbidity.
盆腔外子宫内膜异位症是指盆腔腔外存在子宫内膜组织或间质，是血胸和血腹的罕见病因。在此，我们报告一例34岁有子宫内膜异位症病史的女性，她经历了反复的、周期性的出血性胸腔积液和腹水发作。尽管进行了多次手术以处理异位子宫内膜植入物，但她的症状持续数年仍未得到明确解决，这说明了即使在确诊后治疗仍面临挑战。该病例突出了盆腔外子宫内膜异位症的罕见表现及其可能带来的长期并发症。早期识别和干预对于预防慢性后遗症和降低发病率至关重要。
