A case of pulmonary endometriosis presenting with catamenial pneumothorax / 대한산부인과학회지
Korean Journal of Obstetrics and Gynecology
; : 1576-1580, 2007.
Article
en Ko
| WPRIM
| ID: wpr-15407
Biblioteca responsable:
WPRO
ABSTRACT
Endometriosis is a relatively common gynecologic disease. However thoracic endometriosis syndrome is exceedingly rare among various types of external endometriosis. We experienced a case of 35-year-old woman who presented with recurrent episodes of spontaneous right-sided pneumothorax that occurred during her menstrual periods. After the localization of the disease site by means of chest radiography and computed tomography of the thorax, a chest tube was inserted after which bullectomy and pleurodesis using doxycycline were performed. A hormonal treatment with gonadotropin-releasing hormone (GnRH) agonist for 12-months was also conducted. However, right-sided pneumothorax recurred two times after these procedures. Subsequently, surgical excision of diaphragmatic lesion along with pleurodesis was underwent. To prevent recurrence, we maintained long-term GnRH agonist administration with add back therapy using low dose estrogen-progesterone. Menstruation stopped, and the chest pain disappeared. During a 19-months follow-up period, pneumothorax did not recur. We report this case with a brief review of the concerned literatures.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Neumotórax
/
Recurrencia
/
Tórax
/
Dolor en el Pecho
/
Radiografía
/
Tubos Torácicos
/
Estudios de Seguimiento
/
Hormona Liberadora de Gonadotropina
/
Doxiciclina
/
Pleurodesia
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
Límite:
Adult
/
Female
/
Humans
Idioma:
Ko
Revista:
Korean Journal of Obstetrics and Gynecology
Año:
2007
Tipo del documento:
Article