{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T02:00:36Z","timestamp":1790301636098,"version":"4.1.0"},"reference-count":14,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Respirology Case Reports"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Thoracic endometriosis is a rare manifestation of extra pelvic endometriosis and it is often missed because of its variable clinical presentation. A 33\u2010year\u2010old woman undergoing evaluation for secondary subfertility presented with a three\u2010year history of cyclical periumbilical pain, swelling and occasional catamenial bleeding. Contrast\u2010enhanced CT (CECT) abdomen and pelvis demonstrated an umbilical soft tissue nodule consistent with umbilical endometriosis which was histologically confirmed. Incidentally this CECT also revealed a right\u2010sided pleural effusion with a pleural\u2010based nodule despite absence of respiratory symptoms. Thoracentesis yielded haemorrhagic exudative fluid, while thoracoscopy showed multiple nodules and haemorrhagic cysts on parietal and visceral pleura. Histopathology and immunohistochemistry confirmed pleural endometriosis. The patient subsequently developed a pneumothorax requiring chest tube repositioning and was treated with gonadotropin\u2010releasing hormone (GnRH) analogue therapy, resulting in complete symptomatic and radiological resolution at follow\u2010up. Hormonal therapy was later discontinued to pursue conception; however, recurrence of pleural effusion occurred, necessitating continuation of the medication. This case highlights the silent and multifocal nature of extra\u2010pelvic endometriosis.<\/jats:p>","DOI":"10.1002\/rcr2.70760","type":"journal-article","created":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T23:41:19Z","timestamp":1790120479000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Thoracic and Umbilical Endometriosis Concurrently Presenting During Secondary Subfertility Evaluation"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-8866-7762","authenticated-orcid":false,"given":"Nabeela","family":"Khan","sequence":"first","affiliation":[{"name":"Department of Pulmonology Khyber Teaching Hospital  Peshawar Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saadia","family":"Ashraf","sequence":"additional","affiliation":[{"name":"Department of Pulmonology Khyber Teaching Hospital  Peshawar Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3072-4536","authenticated-orcid":false,"given":"Hamza Khan","family":"Khattak","sequence":"additional","affiliation":[{"name":"Khyber Medical College  Peshawar Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-9199-3127","authenticated-orcid":false,"given":"Afra","family":"Khan","sequence":"additional","affiliation":[{"name":"Khyber Medical College  Peshawar Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8208-0689","authenticated-orcid":false,"given":"Kamil Ahmad","family":"Kamil","sequence":"additional","affiliation":[{"name":"Internal Medicine Department Nasrat Bashir Curative Hospital  Kandahar Kandahar Province Afghanistan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,22]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"StatPearls [Internet]","author":"Tsamantioti E. 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