TY -的A2 - de Miguel-Diez哈维尔盟——Rawala穆罕默德Shabbir盟——Khaliq穆罕默德法盟-伊克巴尔,穆罕默德·阿西夫AU -纳,美国人士塔希拉。沙非盟-法尔,Kinaan AU -迈尔斯,Andrew AU - Helmick,克里斯汀PY - 2018 DA - 2018/08/19 TI -一种罕见的周期性血胸:胸子宫内膜异位症综合症SP - 9830797六世- 2018 AB -子宫内膜异位是一种常见的条件中,子宫内膜细胞和基质沉积在子宫外的网站。其患病率约为10%的生育年龄的女性。它是常见的骨盆;然而,它可能会发现在腹部,胸腔,大脑,或皮肤。胸的参与是一个相对罕见的这种普遍的疾病。胸子宫内膜异位症常表现为气胸在73%的病人。血胸胸罕见的子宫内膜异位症(< 14%)或咯血(7%)。胸子宫内膜异位是一种不常见的引起的胸腔积液。我们提出一个28岁的非洲裔美国女性没有其他医疗条件。她去医院与恶化右侧肋膜炎的胸痛、呼吸困难、月经过多。 She had been complaining of pleuritic chest pain for 5 years, the onset of which corresponds to the start of her menstrual cycle and is relieved with cessation of menses. Initial laboratory studies revealed a severe microcytic anemia with normal coagulation profile. Chest X-ray showed small right pleural effusion and suspicious for airspace disease. A computed tomography (CT) of chest was ordered for further clarification and identified large right pleural effusion. CT-guided thoracentesis removed 500 ml of serosanguinous fluid consisting of blood elements. There can be multiple sites involved with endometriosis and can present with wide range of symptoms that occur periodically with menses in young woman. The history and pleural fluid findings of this case are suggestive of Thoracic Endometriosis Syndrome. The diagnosis of this is often missed or delayed by clinicians, which can result in recurrent hospitalization and other complications. As internists we should be suspicious of atypical presentations of endometriosis and treat them early before complications develop. This case also highlights the importance of suspecting atypical etiologies for pleural effusion. SN - 2090-6846 UR - https://doi.org/10.1155/2018/9830797 DO - 10.1155/2018/9830797 JF - Case Reports in Pulmonology PB - Hindawi KW - ER -