Hemothorax associated with endometriosis

Koichi Fujiu, Hideaki Miyamoto, Masatoshi Mori
In: The Journal of the Japanese Association for Chest Surgery · 2009 · vol. 23(2) , pp. 179–182 · doi:10.2995/jacsurg.23.179 · W2089774580
article OA: bronze CC0
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-08-04 ⓘ

This report details a case of a 45-year-old woman with endometriosis who presented with abdominal pain and anemia, and was later diagnosed with hemothorax due to diaphragmatic endometriosis.

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Abstract

子宮内膜症に合併した血胸の症例を経験したので報告する．症例は45歳女性．右下腹部痛にて当院を受診した．月経開始後5日目であった．腹部CTにて多量の腹水と子宮右側に造影される腫瘤を認めた．受診後貧血の進行を認め，右卵巣出血の疑いで開腹手術を行った．骨盤内には子宮内膜症を認め，腹腔内には約1500mlの血液貯留を認めた．両側卵巣卵管摘出術を行った．術後の胸部X線写真で右肺野の透過性不良を認め胸水貯留と診断した．胸腔ドレーンを挿入し，約1300mlの血性胸水を排液した．翌日，血胸の原因の診断目的で胸腔鏡下手術を行った．臓側および壁側胸膜と横隔膜に多数の茶色の点状班を認めた．また横隔膜の腱中心に紫色の斑点と複数の小孔を認めた．横隔膜と右肺下葉を部分切除した．横隔膜の組織所見にて異所性子宮内膜症と診断した．

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Condition tags

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 (6)

Source provenance

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