Pulmonary Endometriosis: A case report

Phornsawan Wasinghon
In: Thai Journal of Obstetrics and Gynaecology, Vol 20, Iss 2, Pp 60-64 (2020) · 2020 · doi:10.14456/tjog.2020.8 · W4327876417
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A 49-year-old woman with pneumothorax was diagnosed with pulmonary and pleural endometriosis without pelvic involvement, and five-year follow-up showed no recurrence after surgical resection.

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This case report describes a 49-year-old female presenting with progressive chest tightness and a large right-sided pneumothorax. Following drainage and exploratory thoracotomy, histopathological analysis of resected lung and pleural lesions revealed emphysema alongside pulmonary and pleural endometriosis. Further laparoscopic evaluation identified diaphragmatic endometriosis without concurrent pelvic involvement, which was subsequently resected. The patient remained free of recurrence during a five-year follow-up period without requiring hormonal treatment. This paper is centrally about endometriosis — specifically the rare presentation of thoracic endometriosis syndrome manifesting as spontaneous pneumothorax.

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Abstract

A 49-year-old female had progressive diffused chest tightness for one week. Physical examination and chest film showed the right-side pneumothorax as over 40% pneumothorax. After the pneumothorax was drained by a pigtail catheter, an exploratory thoracotomy operation was conducted. The right upper lobe and pleural lesions were resected by a thoracic surgeon. The histopathology revealed emphysema of the lung, with pulmonary and pleural endometriosis. The gynecologist was consulted and laparoscopic surgery was performd for diagnosis. The endometriosis was shown at the diaphragmatic area without pelvic endometriosis. The lesions were resected. The histopathology showed endometriosis of diaphragmatic area. The five-year follow-up did not show evidence of recurrence, and hormonal treatment was not used.
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| Pulmonary Endometriosis: A case report | | | รหัสดีโอไอ | | | Creator | Phornsawan Wasinghon | | Title | Pulmonary Endometriosis: A case report | | Contributor | Ming-Ju Hsieh, Kuan-Gen Huang | | Publisher | PIMDEE Co., Ltd. | | Publication Year | 2563 | | Journal Title | Thai Journal of Obstetrics and Gynaecology | | Journal Vol. | 28 | | Journal No. | 1 | | Page no. | 60-64 | | Keyword | emphysema, pulmonary endometriosis, pneumothorax | | URL Website | https://tci-thaijo.org/index.php/tjog/index | | Website title | www.tci-thaijo.org | | ISSN | 2673-0871 | | Abstract | A 49-year-old female had progressive diffused chest tightness for one week. Physical examination and chest film showed the right-side pneumothorax as over 40% pneumothorax. After the pneumothorax was drained by a pigtail catheter, an exploratory thoracotomy operation was conducted. The right upper lobe and pleural lesions were resected by a thoracic surgeon. The histopathology revealed emphysema of the lung, with pulmonary and pleural endometriosis. The gynecologist was consulted and laparoscopic surgery was performd for diagnosis. The endometriosis was shown at the diaphragmatic area without pelvic endometriosis. The lesions were resected. The histopathology showed endometriosis of diaphragmatic area. The five-year follow-up did not show evidence of recurrence, and hormonal treatment was not used | DOI Smart-Search สวัสดีค่ะ ยินดีให้บริการสอบถาม และสืบค้นข้อมูลตัวระบุวัตถุดิจิทัล (ดีโอไอ) สำนักการวิจัยแห่งชาติ (วช.) ค่ะ

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