Neumotórax catamenial asociado a endometriosis pelviana: a propósito de un caso

Beatriz Amores Arriaga, I. Cristóbal, Ignacio Cristóbal García, Florentino Hernándo, Vanesa Ocaña, Orlando Jorge Martins Torres, Mónica Ballesteros Escudero
In: Progresos de Obstetricia y Ginecología · 2005 · vol. 48(1) , pp. 35–40 · doi:10.1016/s0304-5013(05)72352-9 · W2162645716
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This case report describes a 28-year-old patient with catamenial pneumothorax and pelvic endometriosis, detailing surgical and hormonal treatments reviewed for this rare condition.

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Abstract

Se presenta el caso de una paciente con neumotórax catamenial y nódulo endometriósico pleural derecho asociado a endometriosis pelviana difusa. Se realiza una revisión de las opciones terapéuticas empleadas en la actualidad. Análisis descriptivo de un Caso clínico Paciente de 28 años de edad que presenta neumotórax catamenial y dismenorrea severa. Se realiza estudio con tomografía axial computarizada de alta resolución, videotoracoscopia y ecografía pelviana. Diagnosticada de endometriosis torácica se instaura tratamiento quirúrgico apropiado para la lesion local y se inicia tratamiento con análogos de la GnRH durante 6 meses y tratamiento add-back, cediendo, aunque no totalmente, la sintomatología. Se hace una revisión de los tratamientos más aceptados en la actualidad y de aquellos que se plantean como una alternativa de futuro. La endometriosis pulmonar es una entidad poco frecuente. A la hora de plantearnos el tratamiento, puesto que no vamos a curar la enfermedad, deberemos emplear aquellos que menos efectos secundarios vayan a producir, puesto que será un tratamiento a largo plazo. We present a patient with catamenial pneumothorax and right pleural endometriotic node associated to difuse pelvic endometriosis. The therapeutical medical options are reviewed. A case report. A 28 years old patient with catamenial pneumothorax and intense dysmenorrhea. The complete case report, hight resolution CT, videothoracoscopy and pelvic ultrasound are analyzed. The apropiatted surgical treatment is used for the local lesion after the diagnostic of thoracic endometriosis. On a second time we used GnRH agonists for six months and add-back treatment to reduce the generalized disease; the symptoms reduced, but not completely. The medical options for therapy used today and the new treatments are reviewed. Thoracic endometriosis is a rare entity. Certainly we will not cure the disease completely. Treatments with lesser secondary effects must be given, because it is a long term treatment.

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Condition tags

endometriosisthoracic_endometriosisdysmenorrhea

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (19)

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