Articles

Thoracic endometriosis syndrome at University of Ilorin Teaching Hospital

P O Adeoye, A S Adeniran, K T Adesina, O A Ige, O R Akanbi, A Imhoagene, OOK Ibrahim, G G Ezeoke

Abstract


Background. Endometriosis is defined as the presence of endometrial tissue (stroma and functional glands) outside the uterine cavity in women of reproductive age. Ectopic sites are frequently located in the pelvis; extrapelvic sites have been reported in the gastrointestinal tract and thoracic cavity. Thoracic manifestation of endometriosis constitutes thoracic endometriosis syndrome (TES). 

Objectives. To examine the presentation pattern and outcome of in the management of TES. 

Methods. This study is a retrospective review of medical records of patients diagnosed with endometriosis at the University of Ilorin Teaching Hospital over a 3.5-year period from January 2014 to June 2017. 

Results. A total of 21 patients presented with endometriosis, of whom 8 (38.1%) presented with TES. The most common variety of TES was catamenial pleural effusion (CPE) accounting for 75%, followed by catamenial chest pain (37.5%). Two patients (25%) each presented with catamenial pneumothorax and catamenial haemoptysis, while 1 (12.5%) had catamenial surgical emphysema. Closed thoracostomy tube drainage plus chemical pleurodesis was the most frequent intervention technique, accounting for 62.5%. 

Conclusion. TES remains an uncommon entity, despite being the most common extrapelvic manifestation of endometriosis. CPE appeared to be the most common variant of TES in our environment. Currently available treatment options need to be improved, and more use made of video-assisted thoracoscopic surgery.


Authors' affiliations

P O Adeoye, Division of Thoracic and Cardiovascular Surgery, Department of Surgery, College of Health Sciences, University of Ilorin, Nigeria

A S Adeniran, Department of Obstetrics and Gynaecology, College of Health Sciences, University of Ilorin, Nigeria

K T Adesina, Department of Obstetrics and Gynaecology, College of Health Sciences, University of Ilorin, Nigeria

O A Ige, Department of Anaesthesia, College of Health Sciences, University of Ilorin, Nigeria

O R Akanbi, Department of Surgery, University of Ilorin Teaching Hospital, Nigeria

A Imhoagene, Department of Obstetrics and Gynaecology, University of Ilorin Teaching Hospital, Nigeria

OOK Ibrahim, Department of Morbid Anatomy, College of Health Sciences, University of Ilorin, Nigeria

G G Ezeoke, Department of Obstetrics and Gynaecology, College of Health Sciences, University of Ilorin, Nigeria

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Cite this article

African Journal of Thoracic and Critical Care Medicine 2018;24(2):87-91. DOI:10.7196/SARJ.2018.v24i2.201

Article History

Date submitted: 2018-06-21
Date published: 2018-06-21

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African Journal of Thoracic and Critical Care Medicine| Online ISSN: 2617-0205

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