Sugisawa Chiho, Inaba Hirohisa, Suzuki Kousuke, Hoshino Yoshinori, Shintani Tsunehiro, Shiraishi Koh, Nakayama Takamori, Nishiumi Takao, Mori Shunji, Isobe Kiyoshi
Department of Surgery, Shizuoka Red Cross Hospital, Shizuoka, Japan.
Kyobu Geka. 2010 Feb;63(2):152-5.
A 40-year-old female had right-sided pneumothorax. She was treated with a chest tube. On the 2nd day, her menstruation started. Because of a persistent air leak, she underwent a thoracoscopic operation on the 15th day. During the operation, we noted a pulmonary bulla at the apex and multiple blue berry spots both on the visceral pleura and the tendinous part of the diaphragm. We performed a resection of the pulmonary bulla, partial diaphragmatic excision plus suture. Section of visceral pleura and diaphragm shows ductal structures, which is insistent with endometriosis. The serum CA125 level decreased to 39 U/ml. Following surgery, oral contraceptives was started and no recurrence was encountered thereafter.
一名40岁女性患有右侧气胸。她接受了胸腔闭式引流管治疗。第二天，她开始月经来潮。由于持续漏气，她在第15天接受了胸腔镜手术。手术中，我们在肺尖发现一个肺大疱，在内脏胸膜和膈肌腱部均有多个蓝莓样斑点。我们进行了肺大疱切除术、部分膈肌切除术加缝合。内脏胸膜和膈肌切片显示导管结构，符合子宫内膜异位症。血清CA125水平降至39 U/ml。手术后开始服用口服避孕药，此后未再复发。
