Abstract：
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.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.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.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.
摘要：
一名40多岁的妇女表现为劳累性呼吸困难，没有咯血，咳嗽,发烧和减肥。患者有广泛的子宫内膜异位症病史。调查显示右侧大量胸腔积液。渗出物被抽吸，本质上是渗出物。进行了对比增强CT胸部检查，以帮助排除双重病理。唯一的阳性发现是双侧乳腺结节，随后在活检样本的组织学分析中发现是良性纤维腺瘤。恶性肿瘤被排除后，患者被转介接受内科胸腔镜检查进行活检和其他检查.组织学证明胸膜中存在子宫内膜组织，从而证实了胸子宫内膜综合征的诊断。电视胸腔镜下diaphragm膜和滑石粉胸膜固定术的修补术是在一个简单的过程中进行的，患者出院恢复良好。
