oa South African Journal of Obstetrics and Gynaecology - Thoracic endometriosis syndrome

Volume 24 Number 3
  • ISSN : 0038-2329
  • E-ISSN: 2078-5135



A 35-year-old nulliparous patient with secondary infertility presented to a tertiary hospital in Johannesburg with abnormal uterine bleeding, and a history of two previous right-sided haemopneumothoraces. The second episode had been related to her menstruation, and required the insertion of an intercostal drain in order to treat the large haemothorax. A pleural biopsy revealed pleural endometriosis. She was treated with dienogest (Visanne) on discharge, and was awaiting follow-up with the cardiothoracic surgeons for continued and definitive management.

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