{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T06:10:21Z","timestamp":1756275021200,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,7,3]]},"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:p>A woman in her 40s presented with exertional dyspnoea with an absence of haemoptysis, cough, fever and weight loss. The patient had a medical history of extensive endometriosis. Investigations revealed a large right-sided pleural effusion. The effusion was aspirated and was exudative in nature.<\/jats:p>\n               <jats:p>A contrast-enhanced CT thorax was performed to help exclude dual pathology. The only positive finding was bilateral breast nodules, subsequently found to be benign fibroadenomas on histological analysis of biopsy samples.<\/jats:p>\n               <jats:p>After malignancy was ruled out as a cause, the patient was referred for medical thoracoscopy for a biopsy and other investigations. Histology demonstrated the presence of endometrial tissue in the pleura and thereby confirmed the diagnosis of thoracic endometrial syndrome.<\/jats:p>\n               <jats:p>Video-assisted thoracoscopic surgery repair of diaphragm and talc pleurodesis was carried out in an uncomplicated procedure and the patient was discharged with good recovery.<\/jats:p>","DOI":"10.1136\/bcr-2024-261201","type":"journal-article","created":{"date-parts":[[2024,7,16]],"date-time":"2024-07-16T22:00:19Z","timestamp":1721167219000},"page":"e261201","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Thoracic endometrial syndrome with unilateral exudative pleural effusion"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6880-2689","authenticated-orcid":false,"given":"Carol","family":"Wong","sequence":"first","affiliation":[{"name":"Respiratory, Birmingham City Hospital, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel Hallsor","family":"Booth","sequence":"additional","affiliation":[{"name":"Respiratory, Birmingham City Hospital, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0524-9449","authenticated-orcid":false,"given":"Onn Shaun","family":"Thein","sequence":"additional","affiliation":[{"name":"Respiratory Medicine, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK"},{"name":"Institute of Inflammation and Ageing, University of Birmingham College of Medical and Dental Sciences, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adeel","family":"Sahal","sequence":"additional","affiliation":[{"name":"Respiratory Medicine, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,7,16]]},"reference":[{"key":"2025082622394722000_17.7.e261201.1","doi-asserted-by":"crossref","first-page":"61","DOI":"10.7812\/TPP\/13-154","article-title":"Thoracic Endometriosis syndrome: case report and review of the literature","volume":"18","author":"Azizad-Pinto","year":"2014","journal-title":"Perm J"},{"key":"2025082622394722000_17.7.e261201.2","doi-asserted-by":"crossref","DOI":"10.4293\/JSLS.2019.00029","article-title":"Thoracic Endometriosis syndrome: a review of diagnosis and management","volume":"23","author":"Nezhat","year":"2019","journal-title":"JSLS"},{"key":"2025082622394722000_17.7.e261201.3","first-page":"291","article-title":"The management of women with Thoracic Endometriosis: a national survey of British gynaecological endoscopists","volume":"12","author":"Hirsch","year":"2021","journal-title":"Facts Views Vis Obgyn"},{"key":"2025082622394722000_17.7.e261201.4","unstructured":"British Society for Gynaecological Endoscopy RC of O and Gynaecology . BSGE and RCOG joint statement on Thoracic Endometriosis care. 2022."},{"key":"2025082622394722000_17.7.e261201.5","doi-asserted-by":"publisher","DOI":"10.1136\/thorax-2022-219698"},{"key":"2025082622394722000_17.7.e261201.6","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1016\/j.jmig.2021.08.005","article-title":"Thoracic Endometriosis: a review comparing 480 patients based on Catamenial and Noncatamenial symptoms","volume":"29","author":"Topbas Selcuki","year":"2022","journal-title":"J Minim Invasive Gynecol"},{"key":"2025082622394722000_17.7.e261201.7","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1016\/j.athoracsur.2020.09.064","article-title":"Treatment of Thoracic Endometriosis syndrome: a meta-analysis and review","volume":"113","author":"Ciriaco","year":"2022","journal-title":"Ann Thorac Surg"},{"key":"2025082622394722000_17.7.e261201.8","doi-asserted-by":"crossref","DOI":"10.1186\/s12905-021-01545-5","article-title":"Treatment of Endometriosis: a review with comparison of 8 guidelines","volume":"21","author":"Kalaitzopoulos","year":"2021","journal-title":"BMC Womens Health"},{"key":"2025082622394722000_17.7.e261201.9","doi-asserted-by":"crossref","DOI":"10.1186\/s12931-019-1204-x","article-title":"Chemical Pleurodesis - a review of mechanisms involved in pleural space obliteration","volume":"20","author":"Mierzejewski","year":"2019","journal-title":"Respir Res"},{"key":"2025082622394722000_17.7.e261201.10","doi-asserted-by":"publisher","DOI":"10.1177\/1753465816667649"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-261201","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T05:39:54Z","timestamp":1756273194000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-261201"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7]]},"references-count":10,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2024,7,16]]},"published-print":{"date-parts":[[2024,7]]}},"alternative-id":["10.1136\/bcr-2024-261201"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-261201","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2024,7]]}}}