Left-Sided Catamenial Pneumothorax with Thoracic Endometriosis and Bullae in the Alveolar Wall.
Ann Thorac Cardiovasc Surg
; 23(2): 108-112, 2017 Apr 20.
Article
em En
| MEDLINE
| ID: mdl-27507105
ABSTRACT
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.
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Base de dados:
MEDLINE
Assunto principal:
Pneumotórax
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Alvéolos Pulmonares
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Doenças Torácicas
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Vesícula
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Endometriose
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article