Anesthetic evaluation and management of a patient with thoracic endometriosis syndrome presenting for elective surgery

Christopher Webb, Christopher A J Webb, Webb CA, Weber GM, Garret M Weber, Garret Weber, Richard K. Raker, Raker RK
Journal of clinical anesthesia · 2013 · vol. 25(3) , pp. 220–223 · doi:10.1016/j.jclinane.2012.10.011 · PMID:23688959 · W2120619550
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This paper details the anesthetic management of a patient diagnosed with thoracic endometriosis syndrome who underwent elective surgery.

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Abstract

Thoracic endometriosis syndrome is a relatively uncommon disorder characterized by recurrent pneumothoraces, hemothorax, chest pain, dyspnea, and hemoptysis within 48 to 72 hours of menstruation. A 34 year old, ASA physical status 2 woman with recurrent catamenial pneumothoraces due to thoracic endometriosis syndrome is presented. After treatment with video-assisted thoracoscopic surgery, she underwent successful elective diagnostic abdominal laparoscopy without incident. The presence of parenchymal injury and damage predisposes these patients to ventilator-induced lung injury. Postponement of surgery until the intermenstrual period, with lung protective ventilation, allows patients with this disease to successfully undergo general anesthesia and surgery.

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Condition tags

endometriosisthoracic_endometriosis

MeSH descriptors

Anesthesia, General Endometriosis Pleural Diseases Thoracic Surgery, Video-Assisted Adult Anesthesia, General Endometriosis Endometriosis Female Humans Laparoscopy Laparoscopy Menopause Pleural Diseases Pleural Diseases Pneumothorax Pneumothorax Pneumothorax Recurrence Syndrome

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.

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License: CC0 · commercial use OK