TITLE:
Pleural Effusion and Ascites Associated with Endometriosis-Mimicking Tuberculosis
AUTHORS:
Sara Marzook
KEYWORDS:
Endometriosis, Pleural Effusion, Ascites, Pneumothorax
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.11 No.2,
February
25,
2021
ABSTRACT: Objective: To report a case of Endometriosis
associated with Pleural effusion. Design: Case report. Setting: Tertiary care
center. Patient(s): A 30-year old woman presented with a right pleural effusion
complicated with pneumothorax-mimicking TB. Intervention(s): Thoracentesis,
pleural biopsy by a video-assisted thoracic surgery, pleurodesis, thoracic
wedge resection, CT chest, CT Abdomen, and diagnostic Laparoscopy. Main Outcome
Measure(s): After taking a GnRH analog, there was no recurrence of pleural
effusion nor ascites. Result(s): Thoracentesis and wedge resection of lung
ruled out malignancy. An omental mass biopsy obtained from diagnostic
laparoscopy after the patient returned with drug-induced hepatitis, and ascites
revealed endometriosis. Conclusion(s): Thoracic endometriosis is rare; however,
it should be considered in the differential diagnosis by unknown causes of
pleural effusion in reproductive age timeframe in women.