Hemothorax Resulting From Hemorrhagic Degeneration of Giant Uterine Leiomyomata: A Rare Variant of Pseudo-Meigs’ Syndrome

Authors

• Lawrence Huang, New York Medical College
• Tana Pradhan, Westchester Medical Center
• Oleg Epelbaum, New York Medical College

DOI

10.1016/j.rmcr.2025.102207

Journal Title

Respiratory Medicine Case Reports

Document Type

Article

Publication Date

1-1-2025

Department

Obstetrics and Gynecology

Second Department

Medicine

Keywords

Hemoperitoneum, Hemothorax, Leiomyoma

Disciplines

Medicine and Health Sciences

Abstract

Though rare, hemothorax can occur without trauma, coagulopathy, or apparent vascular injury. Similar to the proposed mechanism of Meigs’ syndrome or hepatic hydrothorax, small diaphragmatic defects may allow peritoneal fluid to traverse the diaphragm into the pleural space. While typically this is associated with transudative pleural effusions, there have been case reports of hemoperitoneum crossing the diaphragm into the pleural space. Here, we present a case in which multiple giant leiomyomata with hemorrhagic necrosis led to hemoperitoneum that translocated across the diaphragm into the pleural space, causing a hemothorax.

Recommended Citation

Huang, L., Pradhan, T., & Epelbaum, O. (2025). Hemothorax Resulting From Hemorrhagic Degeneration of Giant Uterine Leiomyomata: A Rare Variant of Pseudo-Meigs’ Syndrome. Respiratory Medicine Case Reports, 55. https://doi.org/10.1016/j.rmcr.2025.102207