透析患者に合併した月経随伴性気胸の１例

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  • A case of catamenial pneumothorax in a dialysis patient
  • ショウレイ ホウコク トウセキ カンジャ ニ ガッペイ シタ ゲッケイ ズイハンセイ キキョウ ノ 1レイ

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A 46-year-old female patient, who had been on chronic hemodialysis since 43 years old, was complicated by catamenial pneumothorax. She had previously been diagnosed when endometriosis when she delivered. She had regular menstruation from menarche till end-stage renal disease. She developed pneumothorax in April 2002, which recurred with menstruation despite being treated twice with GnRH therapy. She under went video-assisted thoracoscopy and blueberry spots were detected on the visceral pleura and diaphragm along with bulla. These blueberry spots and bulla were resected. Endmetrium was detected in the blueberry spots by histology. She did not develop further recurrence of pneumothorax postoperatively. This is a rare patient receiving hemodialysis, in whom endometriosis in the thorax was confirmed by histology.

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