scholarly journals Recurrent chest pain as a rare presentation of extra‐pelvic endometriosis

2021 ◽  
Vol 9 (7) ◽  
Author(s):  
Mousa Hussein ◽  
Mutaz Albakri ◽  
Shanima Ismail ◽  
Abbas Alabbas ◽  
Samir Al Hyassat
Keyword(s):  
Chest Pain ◽  
Pelvic Endometriosis ◽  
Rare Presentation

scholarly journals Recurrent chest pain as a rare presentation of extra-pelvic endometriosis

2021 ◽  
Author(s):  
Mousa Hussein ◽  
Mutaz Al bakri ◽  
Shanima Ismail ◽  
Abbas Alabbas ◽  
Sameer Alhyassat
Keyword(s):  
Clinical Practice ◽  
Chest Pain ◽  
Pleural Effusion ◽  
Rare Condition ◽  
Pelvic Endometriosis ◽  
Rare Presentation

Periodic chest pain, with bloody pleural effusion, should raise the suspicion of pleural endometriosis as a well-known, but rare condition in clinical practice.

scholarly journals Chest pain as a rare presentation of multiple myeloma

2011 ◽  
Vol 2011 (mar28 1) ◽  
pp. bcr0120113765-bcr0120113765
Author(s):  
M. R. Siddiqui ◽  
Q. T. Islam ◽  
A. Hossain ◽  
Y. U. Rahman ◽  
M. S. Mahbub ◽  
...  
Keyword(s):  
Multiple Myeloma ◽  
Chest Pain ◽  
Rare Presentation

scholarly journals Re-expansion pulmonary edema following a pneumothorax drainage in a patient with COVID-19

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kosaku Komiya ◽  
Ryosuke Hamanaka ◽  
Hisayuki Shuto ◽  
Hiroki Yoshikawa ◽  
Atsushi Yokoyama ◽  
...  
Keyword(s):  
Chest Pain ◽  
Pulmonary Edema ◽  
Left Lung ◽  
Viral Pneumonia ◽  
Smoking History ◽  
Lung Field ◽  
Rare Presentation ◽  
X Ray ◽  
Chest X Ray ◽  
Oxygenation Status

Abstract Background Re-expansion pulmonary edema is an uncommon complication following drainage of a pneumothorax or pleural effusion. While pneumothorax is noted to complicate COVID-19 patients, no case of COVID-19 developing re-expansion pulmonary edema has been reported. Case representation A man in his early 40 s without a smoking history and underlying pulmonary diseases suddenly complained of left chest pain with dyspnea 1 day after being diagnosed with COVID-19. Chest X-ray revealed pneumothorax in the left lung field, and a chest tube was inserted into the intrathoracic space without negative pressure 9 h after the onset of chest pain, resulting in the disappearance of respiratory symptoms; however, 2 h thereafter, dyspnea recurred with lower oxygenation status. Chest X-ray revealed improvement of collapse but extensive infiltration in the expanded lung. Therefore, the patient was diagnosed with re-expansion pulmonary edema, and his dyspnea and oxygenation status gradually improved without any intervention, such as steroid administration. Abnormal lung images also gradually improved within several days. Conclusions This case highlights the rare presentation of re-expansion pulmonary edema following pneumothorax drainage in a patient with COVID-19, which recovered without requiring treatment for viral pneumonia. Differentiating re-expansion pulmonary edema from viral pneumonia is crucial to prevent unnecessary medication for COVID-19 pneumonia and pneumothorax.

scholarly journals A Rare Case of Cyclical Hemothorax: Thoracic Endometriosis Syndrome

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Muhammad Shabbir Rawala ◽  
Muhammad Farhan Khaliq ◽  
Muhammad Asif Iqbal ◽  
S. Tahira Shah Naqvi ◽  
Kinaan Farhan ◽  
...  
Keyword(s):  
Chest Pain ◽  
Pleural Effusion ◽  
Reproductive Age ◽  
Common Disease ◽  
Pleuritic Chest Pain ◽  
Rare Presentation ◽  
Ct Guided ◽  
Endometrial Cells ◽  
Wide Range ◽  
Thoracic Endometriosis

Endometriosis is a common condition in which endometrial cells and stroma are deposited in extrauterine sites. Its prevalence has been estimated to be 10% of reproductive age females. It is commonly found in the pelvis; however, it may be found in the abdomen, thorax, brain, or skin. Thoracic involvement is a relatively rare presentation of this common disease. Thoracic endometriosis commonly presents as pneumothorax in 73% of patients. A rarer presentation of thoracic endometriosis is hemothorax (<14%) or hemoptysis (7%). Thoracic endometriosis is an uncommon cause of a pleural effusion. We present a case of 28-year-old African American female with no other medical conditions. She presented to the hospital with worsening right-sided pleuritic chest pain, dyspnea, and menorrhagia. 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.

Rare Presentation of Pleuritic Chest Pain

CHEST Journal ◽  
2015 ◽  
Vol 148 (4) ◽  
pp. 623A
Author(s):  
Kulothungan Gunasekaran ◽  
Swetha Murthi ◽  
Narmadha Panneerselvam ◽  
Nazir Lone ◽  
Karen McGinnis
Keyword(s):  
Chest Pain ◽  
Pleuritic Chest Pain ◽  
Rare Presentation

scholarly journals Chest Pain? An Unusual Presentation of Vertebral Osteomyelitis

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Cristian Landa ◽  
Stanley Giddings ◽  
Pramod Reddy
Keyword(s):  
Tissue Culture ◽  
Pulmonary Embolism ◽  
Chest Pain ◽  
Vertebral Osteomyelitis ◽  
Cord Compression ◽  
Diagnostic Challenge ◽  
Rare Presentation ◽  
Ct Guided ◽  
Ct Guided Biopsy ◽  
Rule Out

We present a case of vertebral osteomyelitis presenting as chest pain. The patient initially underwent a CT chest angiogram to rule out a pulmonary embolism, which incidentally showed a soft tissue vertebral mass at T3-T4 disk space. Subsequent thoracic vertebral MRI was consistent with osteomyelitis with cord compression. Tissue culture from a CT-guided biopsy grew MRSA. The patient was successfully treated with Vancomycin. This is a rare presentation of vertebral osteomyelitis which poses an interesting diagnostic challenge.

scholarly journals Endometriosis: An Unusual Cause of Bilateral Pneumothoraces

2020 ◽  
Vol 4 (1) ◽  
pp. 35-37
Author(s):  
Christopher Sampson ◽  
Kathleen White
Keyword(s):  
Emergency Department ◽  
Chest Pain ◽  
Respiratory Distress ◽  
Chest Radiograph ◽  
Spontaneous Pneumothorax ◽  
Sudden Onset ◽  
Shortness Of Breath ◽  
Pelvic Endometriosis ◽  
Catamenial Pneumothorax

A 27-year-old female presented to the emergency department with sudden onset shortness of breath. A diagnosis of bilateral catamenial pneumothoraces was made following chest radiograph. Catamenial pneumothorax is a recurrent spontaneous pneumothorax that occurs in 90% of affected women 24-48 hours after the onset of their menstruation; 30-50% of cases have associated pelvic endometriosis. Symptoms can be as simple as chest pain or as severe as the presentation of this patient who was initially found to be in significant respiratory distress.

scholarly journals Large sub-mitral aneurysm compressing the left circumflex coronary artery presenting with atypical chest pain – Rare presentation

2020 ◽  
Vol 21 (5) ◽  
pp. 193-196
Author(s):  
Senthilraj Thangasami ◽  
Sibasis Shasikant Sahoo ◽  
Ananthanarayanan Chandrasekaran ◽  
Pratik Raval ◽  
Parth Shaniswara
Keyword(s):  
Chest Pain ◽  
Coronary Artery ◽  
Circumflex Coronary Artery ◽  
Rare Presentation ◽  
Atypical Chest Pain ◽  
Left Circumflex Coronary Artery

scholarly journals The Importance of Stromal Endometriosis in Thoracic Endometriosis

Cells ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 180
Author(s):  
Ezekiel Mecha ◽  
Roselydiah Makunja ◽  
Jane B. Maoga ◽  
Agnes N. Mwaura ◽  
Muhammad A. Riaz ◽  
...  
Keyword(s):  
Chest Pain ◽  
Recurrence Rate ◽  
Sensitive Detection ◽  
Pelvic Endometriosis ◽  
Rare Type ◽  
Catamenial Pneumothorax ◽  
Diagnosis And Classification ◽  
Thoracic Endometriosis ◽  
Very High

Thoracic endometriosis (TE) is a rare type of endometriosis, where endometrial tissue is found in or around the lungs and is frequent among extra-pelvic endometriosis patients. Catamenial pneumothorax (CP) is the most common form of TE and is characterized by recurrent lung collapses around menstruation. In addition to histology, immunohistochemical evaluation of endometrial implants is used more frequently. In this review, we compared immunohistochemical (CPE) with histological (CPH) characterizations of TE/CP and reevaluated arguments in favor of the implantation theory of Sampson. A summary since the first immunohistochemical description in 1998 until 2019 is provided. The emphasis was on classification of endometrial implants into glands, stroma, and both together. The most remarkable finding is the very high percentage of stromal endometriosis of 52.7% (CPE) compared to 10.2% (CPH). Chest pain, dyspnea, right-sided preference, and diaphragmatic endometrial implants showed the highest percentages in both groups. No significant association was found between the recurrence rate and the various appearances of endometriosis. Sometimes in CPE (6.8%) and CPH (30.6%) no endometrial implants were identified underlining the importance of sensitive detection of endometriosis during and after surgery. We suggest that immunohistochemical evaluation should become mandatory and will improve diagnosis and classification of the disease.

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