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 Adult Anesthesia, General Anesthesia, General Endometriosis Endometriosis Endometriosis Female Female Humans Humans Laparoscopy Laparoscopy Laparoscopy Menopause Menopause

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (45)

Cited by (1)

Source provenance

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License: CC0 · commercial use OK