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Images in Thorax
MRI features of pleural endometriosis after catamenial haemothorax
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  1. Giulia Picozzi1,
  2. Davide Beccani1,
  3. Florio Innocenti2,
  4. Michela Grazzini2,
  5. Mario Mascalchi3
  1. 1Radiodiagnostic Section, Department of Clinical Physiopathology University of Florence, Italy
  2. 2Respiratory Unit, Pistoia Hospital, Pistoia, Italy
  3. 3Radiodiagnostic Section, Department of Clinical Physiopathology University of Florence, Italy
  1. Correspondence to:
    Professor Mario Mascalchi
    Radiodiagnostic Section, Department of Clinical Physiopathology, University of Florence, Viale Morgagni 50134, Florence, Italy; m.mascalchi{at}dfc.unifi.it

http://dx.doi.org/10.1136/thx.2006.071415

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    Pleural endometriosis typically presents in young women within 72 h of onset of menstruation as cata-menial pneumothorax, haemothorax or both. A 43-year-old multiparous woman with a history of pelvic endometriosis and myocardial infarction presented with acute onset of right hemithorax pain and dyspnoea coinciding with dysmenorrhoeic menstruation. A non-contrast enhanced chest CT scan (fig 1) showed a right haemopneumothorax with floating clots within the fluid, which was drained. A video-assisted thoracoscopy (VATS) guided random pleural biopsy …

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