Left-Sided Catamenial Pneumothorax with Thoracic Endometriosis and Bullae in the Alveolar Wall
| Autor: | Sumitaka Yamanaka, Ryo Takahashi, Masatoshi Kurihara, Hiroki Ebana, Teruaki Mizobuchi |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Pulmonary and Respiratory Medicine medicine.medical_specialty Biopsy Endometriosis Uterus Catamenial pneumothorax Case Report 030204 cardiovascular system & hematology 03 medical and health sciences Blister 0302 clinical medicine Thoracic Diseases medicine Humans Bulla (seal) Pneumonectomy Lung Thoracic cavity business.industry Gastroenterology Pneumothorax General Medicine respiratory system medicine.disease Immunohistochemistry respiratory tract diseases Surgery Diaphragm (structural system) Pulmonary Alveoli Treatment Outcome medicine.anatomical_structure 030220 oncology & carcinogenesis Female Radiology Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business |
| Zdroj: | Annals of Thoracic and Cardiovascular Surgery. 23:108-112 |
| ISSN: | 2186-1005 1341-1098 |
| Popis: | Catamenial pneumothorax (CP) is generally caused by intraperitoneal air leaking from the uterus into the thoracic cavity via a defect in the endometrial tissue of the diaphragm and is usually detected in the right thorax. We report a case of left-sided CP caused by endometriosis in the visceral pleura and with no abnormal findings in the diaphragm. A 33-year-old female patient presented at the end of a course of low-dose contraceptive pills for pelvic endometriosis, with spontaneous pneumothorax in the left chest. Chest CT revealed a bulla in the left upper lung lobe. The patient underwent partial resection of the lung. Immunohistochemistry confirmed the presence of endometrial stromal tissue in the visceral pleura and confirmed this as the cause of pneumothorax since there were no observable abnormalities in the diaphragm. This case suggests that immunohistochemical examination of patients with spontaneous pneumothorax can detect alternative endometrial lesions. |
| Databáze: | OpenAIRE |
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