Chemical pleurodesis with autologous blood and freeze-dried concentrated human thrombin improved spontaneous pneumothorax and thoracic endometriosis: The first case involving a pregnant woman
Autor: | Shigeru Saito, Tae Kusabiraki, Keiko Kochi, Takao Hidaka, Ippei Yasuda, Kuniaki Yasoshima, Kiyoshi Takagawa |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
Adult
medicine.medical_specialty Thoracic endometriosis medicine.medical_treatment Endometriosis lcsh:Gynecology and obstetrics Hemostatics Blood Transfusion Autologous 03 medical and health sciences 0302 clinical medicine Thrombin Thoracic Diseases Pregnancy medicine Humans Chemical pleurodesis Pleurodesis lcsh:RG1-991 030219 obstetrics & reproductive medicine Thoracic Surgery Video-Assisted Thoracic cavity business.industry Obstetrics and Gynecology Autologous blood Pneumothorax medicine.disease Surgery Pregnancy Complications medicine.anatomical_structure 030228 respiratory system Gestation Female business medicine.drug |
Zdroj: | Taiwanese Journal of Obstetrics & Gynecology, Vol 57, Iss 3, Pp 449-451 (2018) |
ISSN: | 1028-4559 |
Popis: | Objective Spontaneous pneumothorax combined with thoracic endometriosis is a rare condition during pregnancy. We present a case of chemical pleurodesis with autologous blood and freeze-dried concentrated human thrombin during pregnancy. Case report This report presents a case of spontaneous pneumothorax combined with thoracic endometriosis that arose at 22 weeks' gestation in a 35-year-old female. The initial chest drainage was unsuccessful. At 25 weeks' gestation, video-assisted thoracoscopic surgery was performed and revealed endometriosis in the thoracic cavity. Since the leak persisted, chemical pleurodesis was performed with autologous blood and freeze-dried concentrated human thrombin at 28 weeks’ gestation. The leak improved markedly and did not recur. Conclusion This is the first case report about chemical pleurodesis with autologous blood and freeze-dried concentrated human thrombin during pregnancy. This procedure might contribute to the management of pneumothorax in pregnant women. |
Databáze: | OpenAIRE |
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