A patient with diaphragmatic endometriosis detected after hysterectomy and bilateral adnexectomy
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Abstract
症例は46歳，女性．既往歴に，保存的に軽快した右血気胸があり，臨床経過から月経随伴性気胸と診断され，子宮摘出および両側付属器摘出術が施行された．右背部痛と呼吸困難を主訴に，当院へ救急搬送された．胸部X線写真で右血気胸と診断し，緊急入院した．胸腔ドレナージを施行したが出血が持続するため，緊急手術を施行した．胸腔鏡で胸腔内を観察すると，肺尖の索状癒着の断裂部に出血点を認めた．また，横隔膜上にblueberry spotと明らかな瘻孔を認めたため，同部を自動縫合器で部分切除した．切除した横隔膜には病理組織学的に，異所性子宮内膜組織を認めた．本症例は子宮摘出後の発症であり，月経随伴性気胸の発生機序を検討する上で貴重な症例であるとともに，卵巣摘出後も異所性子宮内膜が活動性を持ちうることを示唆する症例であった．当院で手術を施行した月経随伴性気胸計5例をまとめ，検討した．
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Cites (4)
- Thoracic endometriosis syndrome: New observations from an analysis of 110 cases 1996
- CHRONIC RECURRING SPONTANEOUS PNEUMOTHORAX DUE TO ENDOMETRIOSIS OF THE DIAPHRAGM 1958
- Catamenial pneumothorax revisited: Clinical approach and systematic review of the literature 2004
- Catamenial pneumothorax caused by endometriosis in the visceral pleura 2003
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References (4)
- Catamenial pneumothorax caused by endometriosis in the visceral pleura via openalex
- Catamenial pneumothorax revisited: Clinical approach and systematic review of the literature via openalex
- CHRONIC RECURRING SPONTANEOUS PNEUMOTHORAX DUE TO ENDOMETRIOSIS OF THE DIAPHRAGM via openalex
- Thoracic endometriosis syndrome: New observations from an analysis of 110 cases via openalex
Cited by (1)
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- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
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