Chemical pleurodesis with autologous blood and freeze-dried concentrated human thrombin improved spontaneous pneumothorax and thoracic endometriosis: The first case involving a pregnant woman

Ippei Yasuda, Takao Hidaka, Tae Kusabiraki, Keiko Kochi, Kuniaki Yasoshima, Kiyoshi Takagawa, Shigeru Saito
Taiwanese journal of obstetrics & gynecology · 2018 · vol. 57(3) , pp. 449–451 · doi:10.1016/j.tjog.2018.04.022 · PMID:29880183 · W2806671895
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Abstract

OBJECTIVE: Spontaneous pneumothorax combined with thoracic endometriosis is a rare condition during pregnancy. We present a case of chemical pleurodesis with autologous blood and freeze-dried concentrated human thrombin during pregnancy. CASE REPORT: This report presents a case of spontaneous pneumothorax combined with thoracic endometriosis that arose at 22 weeks' gestation in a 35-year-old female. The initial chest drainage was unsuccessful. At 25 weeks' gestation, video-assisted thoracoscopic surgery was performed and revealed endometriosis in the thoracic cavity. Since the leak persisted, chemical pleurodesis was performed with autologous blood and freeze-dried concentrated human thrombin at 28 weeks' gestation. The leak improved markedly and did not recur. CONCLUSION: This is the first case report about chemical pleurodesis with autologous blood and freeze-dried concentrated human thrombin during pregnancy. This procedure might contribute to the management of pneumothorax in pregnant women.

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endometriosisthoracic_endometriosis

MeSH descriptors

Blood Transfusion, Autologous Hemostatics Pleurodesis Pneumothorax Pregnancy Complications Thrombin Adult Endometriosis Endometriosis Endometriosis Female Hemostatics Humans Pneumothorax Pneumothorax Pneumothorax Pneumothorax Pregnancy Pregnancy Complications Thoracic Diseases

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