Catamenial pneumothorax revealing diaphragmatic endometriosis: a case report and revue of literature.

Autor: Aissa S; Pneumology Department, Farhat Hached Hospital, Sousse, Tunisia., Benzarti W; Pneumology Department, Farhat Hached Hospital, Sousse, Tunisia., Alimi F; Cardiac and Thoracic Surgery Department, Sahloul Hospital, Sousse, Tunisia., Gargouri I; Pneumology Department, Farhat Hached Hospital, Sousse, Tunisia., Salem HB; Pneumology Department, Farhat Hached Hospital, Sousse, Tunisia., Aissa A; Radiology Department, Ibn Jazzar Hospital, Kairouan, Tunisia., Fathallah K; Gynecology and Obstetrics Department, Farhat Hached Hospital, Sousse, Tunisia., Abdelkade AB; Anatomic Pathology Department, Farhat Hached Hospital, Sousse, Tunisia., Alouini R; Radiology Department, Ibn Jazzar Hospital, Kairouan, Tunisia., Garrouche A; Pneumology Department, Farhat Hached Hospital, Sousse, Tunisia., Hayoun A; Pneumology Department, Farhat Hached Hospital, Sousse, Tunisia., Abdelghani A; Pneumology Department, Farhat Hached Hospital, Sousse, Tunisia., Benzarti M; Pneumology Department, Farhat Hached Hospital, Sousse, Tunisia.
Jazyk: angličtina
Zdroj: The Pan African medical journal [Pan Afr Med J] 2017 Jun 14; Vol. 27, pp. 112. Date of Electronic Publication: 2017 Jun 14 (Print Publication: 2017).
DOI: 10.11604/pamj.2017.27.112.8007
Abstrakt: Catamenial pneumothorax (CP) is a rare entity of spontaneous, recurring pneumothorax in women. We aim to discuss the etiology, clinical course, and surgical treatment of a 42-year-old woman with CP. This patient had a right-sided spontaneous pneumothoraces occurred one week after menses. She had under-gone video-assisted thoracoscopic surgery (VATS) because of a persistent air leak under chest tube. VATS revealed multiple diaphragmatic fenestrations with an upper right nodule. Defects were removed and a large part of the diaphragm was resected. Pleural abrasion was then performed over the diaphragm. Diaphragmatic endometriosis was confirmed by microscopic examination. Medical treatment with GnRH agonists was prescribed, and after recovery, the patient has been symptoms free for 20 months.
Databáze: MEDLINE