Thoracic Endometriosis: A Presentation of an Uncommon Disease in a Black African Woman

Introduction. Endometriosis is defined as a chronic gynecologic disease which is characterized by the presence of endometrial glands and stroma in anatomical sites and organs outside the uterine cavity. The exact prevalence of endometriosis is difficult to determine because many women remain asympto...

Full description

Saved in:
Bibliographic Details
Main Authors: John Omotola Ogunkoya, Taiwo Olufemi Solaja, Akinwale Folarin Ogunlade, Marion Itohan Ogunmola
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2022/2380700
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832564768965132288
author John Omotola Ogunkoya
Taiwo Olufemi Solaja
Akinwale Folarin Ogunlade
Marion Itohan Ogunmola
author_facet John Omotola Ogunkoya
Taiwo Olufemi Solaja
Akinwale Folarin Ogunlade
Marion Itohan Ogunmola
author_sort John Omotola Ogunkoya
collection DOAJ
description Introduction. Endometriosis is defined as a chronic gynecologic disease which is characterized by the presence of endometrial glands and stroma in anatomical sites and organs outside the uterine cavity. The exact prevalence of endometriosis is difficult to determine because many women remain asymptomatic. However, endometriosis affects about 10% to 15% of women. Thoracic endometriosis (TES) is the most common endometriosis outside the abdominopelvic cavity. It refers to endometriosis within the thoracic cavity including the lung parenchyma, diaphragm, and pleural surfaces. It can manifest as catamenial chest pain, pneumothorax, hemoptysis, hemothorax, catamenial haemoptysis, and pulmonary nodules. Case Summary. A 39-years-old married female presented with recurrent right-sided chest pain of 22 years duration, recurrent cough of more than 20 years and progressive breathlessness of a month duration. The chest pain is pleuritic, and it often starts few days to the onset of her menses and lasts throughout menstrual flow only to abate after the stoppage of menstrual bleeding. Cough was unproductive, paroxysmal often worse with worsening chest pain. It disappears after the end of menstrual bleed. Breathlessness was initially on mild to moderate exertion before progressing to occasional breathlessness at rest. No history of orthopnea, paroxysmal nocturnal dyspnea, and pedal swelling was found. Over the years, she had presented to several clinics where she was said to have menstrual pain referred to the chest. Conclusion. Diagnosis of extrapelvic endometriosis can be challenging and delayed because it presents in a myriad of ways and in some cases, it may be difficult to link symptoms and the menstrual cycle.
format Article
id doaj-art-9985689928ed4f919f7a4d910d90acc6
institution Kabale University
issn 1687-9635
language English
publishDate 2022-01-01
publisher Wiley
record_format Article
series Case Reports in Medicine
spelling doaj-art-9985689928ed4f919f7a4d910d90acc62025-02-03T01:10:19ZengWileyCase Reports in Medicine1687-96352022-01-01202210.1155/2022/2380700Thoracic Endometriosis: A Presentation of an Uncommon Disease in a Black African WomanJohn Omotola Ogunkoya0Taiwo Olufemi Solaja1Akinwale Folarin Ogunlade2Marion Itohan Ogunmola3Division of Respiratory Medicine and AllergyBenjamin Carson Senior College of Health and Medical SciencesDivision of Respiratory Medicine and AllergyDivision of Respiratory Medicine and AllergyIntroduction. Endometriosis is defined as a chronic gynecologic disease which is characterized by the presence of endometrial glands and stroma in anatomical sites and organs outside the uterine cavity. The exact prevalence of endometriosis is difficult to determine because many women remain asymptomatic. However, endometriosis affects about 10% to 15% of women. Thoracic endometriosis (TES) is the most common endometriosis outside the abdominopelvic cavity. It refers to endometriosis within the thoracic cavity including the lung parenchyma, diaphragm, and pleural surfaces. It can manifest as catamenial chest pain, pneumothorax, hemoptysis, hemothorax, catamenial haemoptysis, and pulmonary nodules. Case Summary. A 39-years-old married female presented with recurrent right-sided chest pain of 22 years duration, recurrent cough of more than 20 years and progressive breathlessness of a month duration. The chest pain is pleuritic, and it often starts few days to the onset of her menses and lasts throughout menstrual flow only to abate after the stoppage of menstrual bleeding. Cough was unproductive, paroxysmal often worse with worsening chest pain. It disappears after the end of menstrual bleed. Breathlessness was initially on mild to moderate exertion before progressing to occasional breathlessness at rest. No history of orthopnea, paroxysmal nocturnal dyspnea, and pedal swelling was found. Over the years, she had presented to several clinics where she was said to have menstrual pain referred to the chest. Conclusion. Diagnosis of extrapelvic endometriosis can be challenging and delayed because it presents in a myriad of ways and in some cases, it may be difficult to link symptoms and the menstrual cycle.http://dx.doi.org/10.1155/2022/2380700
spellingShingle John Omotola Ogunkoya
Taiwo Olufemi Solaja
Akinwale Folarin Ogunlade
Marion Itohan Ogunmola
Thoracic Endometriosis: A Presentation of an Uncommon Disease in a Black African Woman
Case Reports in Medicine
title Thoracic Endometriosis: A Presentation of an Uncommon Disease in a Black African Woman
title_full Thoracic Endometriosis: A Presentation of an Uncommon Disease in a Black African Woman
title_fullStr Thoracic Endometriosis: A Presentation of an Uncommon Disease in a Black African Woman
title_full_unstemmed Thoracic Endometriosis: A Presentation of an Uncommon Disease in a Black African Woman
title_short Thoracic Endometriosis: A Presentation of an Uncommon Disease in a Black African Woman
title_sort thoracic endometriosis a presentation of an uncommon disease in a black african woman
url http://dx.doi.org/10.1155/2022/2380700
work_keys_str_mv AT johnomotolaogunkoya thoracicendometriosisapresentationofanuncommondiseaseinablackafricanwoman
AT taiwoolufemisolaja thoracicendometriosisapresentationofanuncommondiseaseinablackafricanwoman
AT akinwalefolarinogunlade thoracicendometriosisapresentationofanuncommondiseaseinablackafricanwoman
AT marionitohanogunmola thoracicendometriosisapresentationofanuncommondiseaseinablackafricanwoman