Conference abstract

Surgical treatment of a pelvic and thoracic endometriosis: A case report and literature review

Pan African Medical Journal - Conference Proceedings. 2023:16(40).15 Mar 2023.
doi: 10.11604/pamj-cp.2023.16.40.2311
Archived on: 15 Mar 2023
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Keywords: Endometriosis, pelvic endometriosis, thoracic endometriosis, pleurodesis

Surgical treatment of a pelvic and thoracic endometriosis: A case report and literature review

Nana Njamen Théophile1,2,&, Ngatchou William1,3, Tchente Nguefack1,3, Sango1, Tchounzou Robert2, Mbatchou Ngahane Bertrand Hugo1,3, Watchung Marius1, Mbi Fidelia1, Emaleu Josiane1, Abega Cyrille1, Egbe Obinchemti1,2 and Halle Ekane Gregory

1Department of Obstetrics and Gynaecology, Faculty of Health Sciences, University of Buea, Cameroon, 2Douala General Hospital, Douala, Cameroon

&Corresponding author

Introduction: endometriosis is defined as the presence of normal endometrial mucosa implantation outside the uterine cavity. Thoracic endometriosis syndrome is a rare disorder including four well-recognized clinical entities, namely catamenial pneumothorax, catamenial hemothorax, catamenial hemoptysis, and lung nodules.

Case report: we report a case of a 29-year-old woman suffering from primary infertility, chronic pelvic pain, and catamenial hemoptysis. The clinical and paraclinical investigations were suspicious of pelvic and thoracic endometriosis. The first step of the treatment was a pelvic laparoscopy to assess the infertility and the chronic pelvic pain. It revealed a pelvic hemoperitoneum of 250 cc made of dark chocolate blood, a frozen pelvis with a bilateral nodular salpingopathy, and a bilateral endometrioma. After exuflation of CO2 from the abdominal cavity, a fifth intercostal space mini-thoracotomy was performed. Per operative findings revealed extensive pleural both parietal and visceral) endometriosis and a 1.5 liter of pleural effusion. Mechanical pleurodesis by pleural abrasion using electrocoagulation was performed with additional instillation of talc and a right chest tube placement. A pleural biopsy confirmed the diagnosis of endometriosis. The post-operative chest X-ray was satisfactory. The chest tube was removed on postoperative day 5 and she was discharged in good condition on day 7 after the surgery.

Conclusion: thoracic endometriosis although rare is a reality in African settings.