PLEURAL ENDOMETRIOSIS: A CASE STUDY IN MPIGI DISTRICT, UGANDA.

Abstract

Background:

It is estimated that 10% of women of reproductive age have endometriosis where the incidence is noted to be as high as 49% in women with chronic pelvic pain. The most common form of endometriosis is abdominopelvic endometriosis, but there are rare cases where there is the presence of endometrial tissue in the thoracic cavity. Pleural endometriosis is a form of thoracic endometriosis in which the endometrial tissue is found on the pleural membrane.  

Case presentation:

A 29-year-old female came into our hospital presenting with shortness of breath, the feeling of fluids splashing into the right chest, right-sided chest pains, mild non-productive cough. The signs and symptoms were always present monthly at the start of her menses.

Results:

The chest X-ray findings revealed a right-sided moderate pleural effusion. The cause of this pleural effusion remained idiopathic. However, since her history of presenting complaints was aligned with menstrual periods, a pleural tissue biopsy was done, which revealed endometrial tissue implanted on the pleural membrane.

Conclusion:

Pleural endometriosis is a rare but existing form of endometriosis with no specific risk factors or signs and symptoms. This explains why many have misdiagnosed it calling it pneumonia. Clinicians are recommended to take a detailed history from patients regardless of how unrelated some complaints may seem. “It seemed unrelated for a pleural effusion with a cough to become a gynecological issue”.