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[Repeated catamenial pneumothorax with pleural and diaphragmatic endometriosis; report of a case].
Kyobu Geka. 2009 Nov; 62(12):1093-6.KG

Abstract

A 31-year-old female with 2 episodes of right pneumothorax related to onset of menstruation was reported. Thoracoscopy revealed the presence of some cystic lesions in the diaphragm. Partial resection of the diaphragm including the lesions was performed. Histologial findings of the resected diaphragm showed stromal endometriosis. One month after operation, she had a recurrent right pneumothorax related to onset of menstruation. A pinhole perforation of the lower lobe was noted at 2nd surgery. Microscopic examination of the resected lung disclosed endometrial stroma in the macroscopically normal lung tissue. Since air leakage from chest tube continued after surgery, the hormonal therapy with a gonadotropin-releasing hormone analogue was started, and she was discharged from the hospital 3 weeks after hormonal therapy. Report of the demonstration of endmetriosis in the visceral pleura and diaphragm is very rare and the present case is very suggestive is considering the mechanism of the development of this disease.

Authors+Show Affiliations

Department of Chest Surgery, Takamatsu Red-cross Hospital, Takamatsu, Japan.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

jpn

PubMed ID

19894578

Citation

Tamaki, M, et al. "[Repeated Catamenial Pneumothorax With Pleural and Diaphragmatic Endometriosis; Report of a Case]." Kyobu Geka. the Japanese Journal of Thoracic Surgery, vol. 62, no. 12, 2009, pp. 1093-6.
Tamaki M, Yoshizawa K, Okumura K, et al. [Repeated catamenial pneumothorax with pleural and diaphragmatic endometriosis; report of a case]. Kyobu Geka. 2009;62(12):1093-6.
Tamaki, M., Yoshizawa, K., Okumura, K., & Miura, K. (2009). [Repeated catamenial pneumothorax with pleural and diaphragmatic endometriosis; report of a case]. Kyobu Geka. the Japanese Journal of Thoracic Surgery, 62(12), 1093-6.
Tamaki M, et al. [Repeated Catamenial Pneumothorax With Pleural and Diaphragmatic Endometriosis; Report of a Case]. Kyobu Geka. 2009;62(12):1093-6. PubMed PMID: 19894578.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Repeated catamenial pneumothorax with pleural and diaphragmatic endometriosis; report of a case]. AU - Tamaki,M, AU - Yoshizawa,K, AU - Okumura,K, AU - Miura,K, PY - 2009/11/10/entrez PY - 2009/11/10/pubmed PY - 2009/12/17/medline SP - 1093 EP - 6 JF - Kyobu geka. The Japanese journal of thoracic surgery JO - Kyobu Geka VL - 62 IS - 12 N2 - A 31-year-old female with 2 episodes of right pneumothorax related to onset of menstruation was reported. Thoracoscopy revealed the presence of some cystic lesions in the diaphragm. Partial resection of the diaphragm including the lesions was performed. Histologial findings of the resected diaphragm showed stromal endometriosis. One month after operation, she had a recurrent right pneumothorax related to onset of menstruation. A pinhole perforation of the lower lobe was noted at 2nd surgery. Microscopic examination of the resected lung disclosed endometrial stroma in the macroscopically normal lung tissue. Since air leakage from chest tube continued after surgery, the hormonal therapy with a gonadotropin-releasing hormone analogue was started, and she was discharged from the hospital 3 weeks after hormonal therapy. Report of the demonstration of endmetriosis in the visceral pleura and diaphragm is very rare and the present case is very suggestive is considering the mechanism of the development of this disease. SN - 0021-5252 UR - https://www.unboundmedicine.com/medline/citation/19894578/[Repeated_catamenial_pneumothorax_with_pleural_and_diaphragmatic_endometriosis L2 - http://www.pieronline.jp/openurl?issn=0021-5252&volume=62&issue=12&spage=1093 DB - PRIME DP - Unbound Medicine ER -