# Thoracic Endometriosis Masquerading As Recurrent Hemothorax

## TL;DR

A 37-year-old woman was diagnosed with rare thoracic endometriosis, initially mistaken for ovarian cancer.

## Contribution

This case highlights the diagnostic challenges of thoracic endometriosis mimicking other conditions.

## Key findings

- The patient's symptoms were misinterpreted as ovarian cancer and Meig’s syndrome.
- Thoracic endometriosis was confirmed after thorough evaluation and imaging.
- The case underscores the need for careful differential diagnosis in similar presentations.

## Abstract

Extragenital endometriosis is not a common occurrence. Its diagnosis is often delayed, which leads to further complications and recurrent hospitalizations. In this report, we present a case of a 37-year-old African American female diagnosed with thoracic endometriosis who initially presented with a two-week duration of progressive shortness of breath. The diagnosis of this patient posed a dilemma as there was initial suspicion of ovarian cancer and Meig’s syndrome, which can have similar presentations.