Ann Thorac Surg 2004;77:2204-2206
© 2004 The Society of Thoracic Surgeons
a Department of Internal Medicine II, University Erlangen-Nürnberg, Erlangen, Germany
b Department of Pediatric Cardiology, University Erlangen-Nürnberg, Erlangen, Germany
c Department of Surgery, Municipal Hospital Hof, Hof, Germany
Accepted for publication June 6, 2003.
* Address reprint requests to Dr Seeliger, Department of Internal Medicine II, University Erlangen-Nürnberg, Ulmenweg 18, D-91054 Erlangen, Germany
We present the case of a 36-year-old woman with Noonan syndrome and congenital heart disease in whom extragenital endometriosis caused an extraordinarily large jelly-like paracardiac and abdominal mass. Protrusion through an intercostal space caused a pulsating subcutaneous tumor on the left lateral thoracic wall. The patient never complained of menstruation-related pain. Histology obtained during several prior surgical interventions had been inconclusive. Thus definitive diagnosis was delayed for years. A literature review revealed no known association between Noonan syndrome and endometriosis.
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[Abstract] [Fulltext] [PDF]
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