Shortness of breath in a young lady, rare case report of thoracic endometriosis

Willbroad Kyejo, Allyzain Ismail, Davis Rubagumya, Rahma Bakari, Munawar Kaguta, Nancy Matillya

Research output: Contribution to journalArticlepeer-review


Introduction and importance: Endometrial glandular tissue can implant in the thorax of women suffering from endometriosis. The clinical presentation is depends on site of implantation. Complications include pneumothorax, pneumohemothorax or hemothorax. Case presentation: A 31 year old woman with history of infertility presented with shortness of breath and was found to have a significant right sided pneumohemothorax. Drainage was done followed by chemical pleurodesis using bleomycin with resolution of symptoms on her follow up. Clinical discussion: Thoracic endometriosis tend to present with chronic or sub-acute symptoms which are non-specific symptoms leading to late diagnosis. Video Assisted Thoracoscopic surgery offer both diagnostic and therapeutic in thoracic endometriosis. However in limited settings chemical pleurodesis can be carried out done to prevent recurrence of shortness of breath due to thoracic endometriosis. Conclusion: Therefore, clinical suspicion of thoracic endometriosis in evaluation of shortness of breath in a young lady with history of infertility or pelvic surgery is indispensable.

Original languageEnglish
Article number107226
JournalInternational Journal of Surgery Case Reports
Publication statusPublished - Jun 2022
Externally publishedYes


  • Case report
  • Pleurodesis
  • Pneumohemothorax
  • Shortness of breath
  • Thoracic endometriosis


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