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Eur J Cardiothorac Surg 2002;22:321-323
© 2002 Elsevier Science NL

Case report

Massive pleural endometriosis

Department of Cardiothoracic Surgery, Stanford University, Stanford, CA, USA

Received 10 January 2001; received in revised form 23 April 2002; accepted 29 April 2002.

* Corresponding author. Division of Cardiothoracic Surgery, University of Colorado School of Medicine, 4200 East Ninth Avenue, C-310, Denver, CO 80111, USA. Tel.: +1-303-315-0783; fax: +1-303-315-3065
e-mail: john.mitchell{at}uchsc.edu

We present a patient who was referred to our thoracic surgical service with a massive, loculated right pleural effusion accompanied by significant ascites. Thoracotomy and decortication were required and pleural biopsy led to a diagnosis of endometriosis. Aggressive medical therapy was subsequently initiated but hysterectomy with bilateral oophorectomy was required due to poor symptom control and the inability to rule out a neoplastic process. There are less than 15 reported cases of endometriosis presenting with both pleural effusion and ascites. Thoracic surgeons presented with such a scenario should be cognizant of this pathological entity.

Key Words: Endometriosis • Pleural biopsy • Ascites • Pleural effusion

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