A patient with bilateral thoracic endometriosis pneumothorax and porous diaphragm syndrome who initially presented with left pneumothorax

Emi Sakai, Satsuki Kina, Shigeki Miyanaga, Kazuki Nakahara
In: The Journal of the Japanese Association for Chest Surgery · 2025 · vol. 39(2) , pp. 132–138 · doi:10.2995/jacsurg.39.132 · W4408506027
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⚙ AI-generated summary by claude@2026-07, 2026-07-14 ⓘ

This case report describes a 42-year-old woman with bilateral thoracic endometriosis and pneumothorax, initially presenting with a left pneumothorax and a porous diaphragm, who was treated with VATS and diaphragmatic repair.

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Abstract

症例は右付属器切除術の既往のある未経妊の42歳女性．HCV感染症治療後の腹部超音波検査で右胸水を認めた．胸水精査のため施行した胸部単純X線写真で偶発的に左気胸（II度）を認めた．胸部単純CTでは両側肺に多発肺囊胞を認めた．診断・治療目的に胸腔鏡下手術を施行し病理検査にて胸腔子宮内膜症の診断となった．その直後から右気胸と右胸水貯留を繰り返した．右胸水改善と同時に多量の血性腹水を認めたため，腹水穿刺時にアミドトリゾ酸を注入し腹腔内造影を施行したところ腹腔内と右胸腔内の交通が確認された．右気胸の手術と共に腹腔鏡下手術を施行し，横隔膜病変を胸腔側と腹腔側から確認し，両側から人工被覆剤にて横隔膜を補強した．右気胸も病理検査にて胸腔内子宮内膜症の診断となった．右横隔膜交通部が明らかな，左気胸を初発とした両側の胸腔子宮内膜症性気胸の1例を経験したので報告する．

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Condition tags

endometriosisthoracic_endometriosis

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 (11)

Source provenance

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last seen: 2026-06-10T17:14:06.276822+00:00
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