American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: http://www.sciepub.com/journal/ajmcr Editor-in-chief: Samy, I. McFarlane
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American Journal of Medical Case Reports. 2015, 3(11), 362-366
DOI: 10.12691/ajmcr-3-11-4
Open AccessCase Report

Catamenial Haemothorax Masquerading Pulmonary Tuberculosis? A Case Report of a 28 Year Old Woman who Presented with Recurrent Haemothorax and Empyema Thoracis

Solomon Gumanga1, , Godfred Takyi1, Hakeem Ofosu1, Sunday Imogie1 and Bill Koomson1

1Tamale Teaching Hospital, Ghana

Pub. Date: October 09, 2015

Cite this paper:
Solomon Gumanga, Godfred Takyi, Hakeem Ofosu, Sunday Imogie and Bill Koomson. Catamenial Haemothorax Masquerading Pulmonary Tuberculosis? A Case Report of a 28 Year Old Woman who Presented with Recurrent Haemothorax and Empyema Thoracis. American Journal of Medical Case Reports. 2015; 3(11):362-366. doi: 10.12691/ajmcr-3-11-4

Abstract

Catamenial haemothorax is a clinical manifestation of endometriosis of the pleural cavity. This is a case report of a 28 year old woman who presented with recurrent catamenial haemothorax who had histological confirmation of pelvic endometriosis and uterine leiomyoma. A presumptive diagnosis of catamenial haemothorax was made as it was not possible to get a histological confirmation of endometriosis of the pleural cavity. She was treated effectively with gonadotropin-releasing hormone GnRH agonist-leuprorelin. Antituberculosis treatment was however added when she developed empyema thoracis instead of haemothorax at a time she was experiencing amenorrhoea. Pulmonary tuberculosis being an endemic disease remained the main differential diagnosis but was never confirmed at any stage by investigations conducted. She has since not experienced any recurrence in eighteen months of follow-up after treatment was completed. Conclusion: Pulmonary or thoracic endometriosis though rare; should be considered seriously in women of reproductive age who present with recurrent catamenial haemothorax. Due to obscured locations of the endometriosis lesions in the thoracic cavity; the diagnosis may be difficult to confirm since access to investigative tools is limited in developing countries.

Keywords:
catamenial haemothorax pulmonary endometriosis thoracic endometriosis syndrome extra pelvic endometriosis

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