Thoracoscopic treatment of recurrent pneumothorax in a pregnant woman: a case of ectopic deciduosis

Kim YD, Y-D Kim, K-O Min, Min KO, Moon SW, S-W Moon
The Thoracic and cardiovascular surgeon · 2010 · doi:10.1055/s-0029-1240848 · PMID:20922628
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A case report describes successful thoracoscopic treatment of recurrent pneumothorax in a pregnant woman caused by diaphragmatic and pulmonary ectopic deciduosis, highlighting the importance of diaphragmatic exploration during surgery.

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This case report describes a pregnant woman presenting with recurrent pneumothorax who underwent successful thoracoscopic surgery. Intraoperative examination and subsequent histopathological analysis revealed the presence of ectopic deciduosis affecting both the diaphragm and pulmonary tissue. The authors emphasize that surgeons should carefully inspect the diaphragm during pneumothorax treatment in female patients to identify such rare pathological findings. Relevance to endometriosis: The paper cites catamenial pneumothorax and pleuropulmonary endometriosis in its references, linking the condition to endometriosis-related thoracic manifestations, although the primary diagnosis was ectopic deciduosis rather than active endometrial implants.

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Abstract

We report here on a case of recurrent pneumothorax during pregnancy, which was successfully treated with thoracoscopic surgery. This report describes the intraoperative and histopathological findings of diaphragmatic and pulmonary ectopic deciduosis. Our case highlights the need for all surgeons to explore the diaphragm when performing surgery to treat pneumothorax in a woman, even if she is pregnant.
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Abstract

We report here on a case of recurrent pneumothorax during pregnancy, which was successfully treated with thoracoscopic surgery. This report describes the intraoperative and histopathological findings of diaphragmatic and pulmonary ectopic deciduosis. Our case highlights the need for all surgeons to explore the diaphragm when performing surgery to treat pneumothorax in a woman, even if she is pregnant. Key words Diaphragm - pneumothorax - pregnancy

Reference

- 1 Schoenfeld A, Ziv E, Zeelel Y, Ovdia J. Catamenial pneumothorax – a literature review and report of an unusual case. Obstet Gynecol Surv. 1986; 41 20-24 - 2 Flieder D B, Moran C A, Travis W D, Koss M N, Mark E J. Pleuro-pulmonary endometriosis and pulmonary ectopic deciduosis: a clinicopathologic and immunohistochemical study of 10 cases with emphasis on diagnostic pitfalls. Human Pathol. 1998; 29 1495-1503 - 3 Yoshioka H, Fukui T, Mori S, Usami N, Nagasaka T, Yokoi K. Catamenial pneumothorax in a pregnant patient. Jpn J Thorac Cardiovasc Surg. 2005; 53 280-282 - 4 Korom S, Canyurt H, Missebach A et al. Catamenial pneumothorax: Clinical approach and systemic review of the literature. J Thorac Cardiovasc Surg. 2004; 128 502-508 - 5 Alifano M, Jablonski C, Kadiri H et al. Catamenial and noncatamenial, endometriosis-related or nonendometriosis-related pneumothorax referred for surgery. Am J Respir Crit Care Med. 2007; 176 1048-1053 Seok-Whan Moon Department of Thoracic and Cardiovascular Surgery College of Medicine The Catholic University of Korea St. Paul's Hospital 620–56, Jeonnong-Dong, Dongdaemun-Gu 130–709 Seoul Republic of Korea Phone: +82 29 58 24 47 Fax: +82 29 58 24 77 Email: [email protected]

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Pregnancy Complications Thoracoscopy Adult Decidua Decidua Diaphragm Diaphragm Diaphragm Endometriosis Endometriosis Endometriosis Female Humans Lung Lung Lung Pneumothorax Pneumothorax Pneumothorax

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