Catamenial pneumothorax caused by thoracic endometriosis

Autor: Paolo Maniglio, MD, Enzo Ricciardi, MD, Federica Meli, MD, Salvatore Giovanni Vitale, MD, Marco Noventa, MD, Amerigo Vitagliano, MD, Gaetano Valenti, MD, Valentina Lucia La Rosa, PsyD, Antonio Simone Laganà, MD, Donatella Caserta, MD
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Radiology Case Reports, Vol 13, Iss 1, Pp 81-85 (2018)
Druh dokumentu: article
ISSN: 1930-0433
DOI: 10.1016/j.radcr.2017.09.003
Popis: Background: Thoracic endometriosis syndrome is a rare form of extrapelvic endometriosis characterized by the presence of functioning endometrial tissue in pleura, lung parenchyma, and airways, associated with a high rate of infertility. Case Report: We have reported a case of successful management and treatment of thoracic endometriosis syndrome that occurred in a 37-year-old female patient. She underwent thoracoscopic resection of the lesion. During follow-up, we revealed the recurrence of a previously surgically treated thoracic endometriosis. She was initially treated with a gonadotropin-releasing hormone agonist; subsequently this was replaced by a prophylactic treatment with Dienogest. Conclusion: The diagnosis of thoracic endometriosis is challenging. The first line of treatment is medical, whereas the surgical treatment is performed secondly. Moreover, surgical treatment can lead to a significant rate of recurrence, often reduced by a coadjutant medical treatment.
Databáze: Directory of Open Access Journals