Left-Sided Catamenial Pneumothorax with Thoracic Endometriosis and Bullae in the Alveolar Wall
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- Takahashi Ryo
- Pneumothorax Research Center, Nissan Tamagawa Hosipital, Tokyo, Japan Department of Molecular Pharmacology, Graduate School of Medicine, Kitasato University, Sagamihara, Kanagawa, Japan Department of Surgery, Jinken Clinic, Ebina, Kanagawa, Japan
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- Kurihara Masatoshi
- Pneumothorax Research Center, Nissan Tamagawa Hosipital, Tokyo, Japan
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- Mizobuchi Teruaki
- Pneumothorax Research Center, Nissan Tamagawa Hosipital, Tokyo, Japan
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- Ebana Hiroki
- Pneumothorax Research Center, Nissan Tamagawa Hosipital, Tokyo, Japan Department of Respiratory Medicine, Graduate School of Medicine, Juntendo University, Tokyo, Japan
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- Yamanaka Sumitaka
- Pneumothorax Research Center, Nissan Tamagawa Hosipital, Tokyo, Japan
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説明
<p>Catamenial pneumothorax (CP) is generally caused by intraperitoneal air leaking from the uterus into the thoracic cavity via a defect in the endometrial tissue of the diaphragm and is usually detected in the right thorax. We report a case of left-sided CP caused by endometriosis in the visceral pleura and with no abnormal findings in the diaphragm. A 33-year-old female patient presented at the end of a course of low-dose contraceptive pills for pelvic endometriosis, with spontaneous pneumothorax in the left chest. Chest CT revealed a bulla in the left upper lung lobe. The patient underwent partial resection of the lung. Immunohistochemistry confirmed the presence of endometrial stromal tissue in the visceral pleura and confirmed this as the cause of pneumothorax since there were no observable abnormalities in the diaphragm. This case suggests that immunohistochemical examination of patients with spontaneous pneumothorax can detect alternative endometrial lesions.</p>
収録刊行物
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- Annals of Thoracic and Cardiovascular Surgery
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Annals of Thoracic and Cardiovascular Surgery 23 (2), 108-112, 2017
Annals of Thoracic and Cardiovascular Surgery 編集委員会
