A case of pulmonary endometriosis presenting with catamenial pneumothorax.
- Author:
Min Gyun KIM
1
;
Chung Hoon KIM
;
Sa Ra LEE
;
Da Hye JU
;
Sung Hoon KIM
;
Heedong CHAE
;
Byung Moon KANG
Author Information
1. Department of Obstetrics and Gynecology, College of Medicine, University of Ulsan, Asan Medical Center, Seoul, Korea. chkim@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Catamenial pneumothorax;
Endometriosis;
GnRH agonist
- MeSH:
Adult;
Chest Pain;
Chest Tubes;
Doxycycline;
Endometriosis*;
Female;
Follow-Up Studies;
Genital Diseases, Female;
Gonadotropin-Releasing Hormone;
Humans;
Menstruation;
Pleurodesis;
Pneumothorax*;
Radiography;
Recurrence;
Thorax
- From:Korean Journal of Obstetrics and Gynecology
2007;50(11):1576-1580
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Endometriosis is a relatively common gynecologic disease. However thoracic endometriosis syndrome is exceedingly rare among various types of external endometriosis. We experienced a case of 35-year-old woman who presented with recurrent episodes of spontaneous right-sided pneumothorax that occurred during her menstrual periods. After the localization of the disease site by means of chest radiography and computed tomography of the thorax, a chest tube was inserted after which bullectomy and pleurodesis using doxycycline were performed. A hormonal treatment with gonadotropin-releasing hormone (GnRH) agonist for 12-months was also conducted. However, right-sided pneumothorax recurred two times after these procedures. Subsequently, surgical excision of diaphragmatic lesion along with pleurodesis was underwent. To prevent recurrence, we maintained long-term GnRH agonist administration with add back therapy using low dose estrogen-progesterone. Menstruation stopped, and the chest pain disappeared. During a 19-months follow-up period, pneumothorax did not recur. We report this case with a brief review of the concerned literatures.
