RESUMO
A endometriose torácica é uma forma de endometriose extrapélvica encontrada em tecidos pulmonares ou na pleura. Caracteriza- se clinicamente pela presença de pneumotórax catamenial, hemotórax catamenial, hemoptise e nódulos pulmonares. O pneumotórax catamenial é a manifestação mais frequente, sendo caracterizado pelo acúmulo recorrente de ar na cavidade torácica durante o período menstrual. Ocorre, geralmente, no hemitórax direito e possui maior incidência na faixa etária dos 30 aos 40 anos de idade. Nosso objetivo é descrever um caso de derrame pleural hemorrágico recorrente e pneumotórax espontâneo correlacionados ao período menstrual em paciente de 34 anos. (AU)
Thoracic endometriosis is a form of extrapelvic endometriosis found in pulmonary tissue or the pleura. Clinically, it is characterized by the presence of catamenial pneumothorax, catamenial hemothorax, hemoptysis, and pulmonary nodules. The most frequent clinical presentation is catamenial pneumothorax, which is typified by a recurrent collection of air in the thoracic cavity occurring in conjunction with menstrual periods. It occurs more commonly on the right side and its highest incidence is between 30 and 40 years of age. Our objective is to describe a case of recurrent hemorrhagic pleural effusion and spontaneous pneumothorax correlated to the menstrual period in a 34-year-old patient. (AU)
Assuntos
Humanos , Feminino , Adulto , Endometriose/diagnóstico , Hemopneumotórax/diagnóstico por imagem , Neoplasias Pulmonares/diagnóstico por imagem , Derrame Pleural/diagnóstico por imagem , Progestinas/uso terapêutico , Toracoscopia , Neoplasias Uterinas/tratamento farmacológico , Neoplasias Uterinas/diagnóstico por imagem , Radiografia , Tomografia Computadorizada por Raios X , Dor nas Costas , Leiomiomatose/tratamento farmacológico , Leiomiomatose/diagnóstico por imagem , Pleurodese , Anticoncepcionais Orais Hormonais/uso terapêutico , Tosse , Diabetes Mellitus , Dispneia , Endometriose/tratamento farmacológico , Febre , Toracentese , Hemopneumotórax/tratamento farmacológico , Neoplasias Pulmonares/tratamento farmacológicoRESUMO
Benign intraperitoneal metastatic leiomyomatosis is a rare benign disease that is observed when a leiomyoma is present in the peritoneal surface. Women who have undergone hysterectomy for leiomyomas are most commonly affected. Patients are usually asymptomatic at presentation, being frequently an incidental finding in imaging studies. Ultrasound and CT play an important role in the diagnosis. The lesions are histologically identical to their uterine counterparts. There are different theories about the pathogenesis of the disease, including peritoneal seeding after laparoscopic hysterectomy. Others support the hypothesis of multiple independent foci of smooth muscle proliferation. Treatment, as in uterine leiomyomatosis, is generally conservative. We report a 53-year-old hysterectomized woman with intraperitoneal leiomyomas detected in a routine physical examination as mobile abdominal masses who underwent successful laparoscopic resection.
Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Neoplasias Peritoneais/secundário , Neoplasias Uterinas/patologia , Leiomiomatose/patologia , Leiomioma/patologia , Neoplasias Peritoneais/cirurgia , Neoplasias Peritoneais/diagnóstico por imagem , Leiomiomatose/cirurgia , Leiomiomatose/diagnóstico por imagem , HisterectomiaRESUMO
Diffuse esophageal leiomyomatosis is a rare benign tumor, which can be associated with leiomyoma in female genital tracts involving the uterus, vagina, and vulva. Alport syndrome, an inherited disorder that includes the kidneys, eyes, and sensorineural hearing loss, is also rarely associated with these multiple leiomyomatosis. In our case, 18F-fluoroseoxyglucose positron emission tomography/computed tomography was used to distinguish esophageal and genital leiomyomatosis from malignant masses.