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Thoracic endometriosis syndrome in Nigeria: a single-centre experience
- Source :
- Interact Cardiovasc Thorac Surg
- Publication Year :
- 2020
- Publisher :
- Oxford University Press (OUP), 2020.
-
Abstract
- OBJECTIVESThoracic endometriosis syndrome (TES) is the presence of functional endometrial tissue in or around the lung. There seem to be differences in the clinical presentation of this condition among Nigerian patients. We aim to study the clinical presentation and management outcome of TES in our centre.METHODSThis is an analysis of consecutive patients with TES treated over a 5-year period and followed up for 6 months to 5 years. Information collected included the gynaecological history, clinical presentation, causes of misdiagnosis, modalities of treatment and outcome.RESULTSTwenty-three patients with TES aged between 24 and 45 years (median 32 years) were treated. Severe dysmenorrhoea was a prominent symptom in 91.3% of cases (median dysmenorrhoea score 8) and was uninfluenced by the marital status (P = 0.522). The patients usually presented with massive or recurrent haemothorax associated with massive ascites [16/23 (69.5%) of cases (P = 0.0006)]. The right side alone was involved in 21 cases and 1 patient had catamenial haemoptysis as a part of her symptoms, even though there was bronchial bleed at bronchoscopy in 6 patients. In 40%, tuberculosis was the misdiagnosis. Diagnosis was established histologically in 18/23 (78.3%) of the cases. Treatment was multimodal and multidisciplinary with notable macroscopic lesions in 77.8% of the patients that had surgery.CONCLUSIONSTES is not an uncommon lesion. Presentation with massive haemothorax is usually associated with massive ascites. A large percentage of such have pleural and diaphragmatic lesions that require surgical treatment. The ascites may be refractory to treatment requiring repeated paracentesis.
- Subjects :
- Adult
Pulmonary and Respiratory Medicine
medicine.medical_specialty
Thoracic
Diaphragm
Endometriosis
Nigeria
Diaphragmatic breathing
Catamenial pneumothorax
Young Adult
03 medical and health sciences
0302 clinical medicine
Thoracic Diseases
Bronchoscopy
Ascites
medicine
Paracentesis
Humans
Lung
Hemothorax
030219 obstetrics & reproductive medicine
medicine.diagnostic_test
business.industry
Pneumothorax
Middle Aged
Bleed
medicine.disease
Surgery
030220 oncology & carcinogenesis
Pleura
Female
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 15699285
- Volume :
- 32
- Database :
- OpenAIRE
- Journal :
- Interactive CardioVascular and Thoracic Surgery
- Accession number :
- edsair.doi.dedup.....03b5c4554e2efb895c9c7924ff76cc89