双侧胸段子宫内膜异位症累及肺和膈肌。
Bilateral thoracic endometriosis affecting the lung and diaphragm.
作者信息
Nezhat Camran, King Louise P, Paka Chandhana, Odegaard Justin, Beygui Ramin
机构信息
Center for Minimally Invasive and Robotic Surgery, Stanford University Medical Center Departments of Obstetrics and Gynecology and Surgery, Palo Alto, CA, USA.
出版信息
JSLS. 2012 Jan-Mar;16(1):140-2. doi: 10.4293/108680812X13291597716384.
INTRODUCTION
Endometriosis of the lung and the diaphragm is rare. Patients may present with symptoms such as shortness of breath, chest pain, and shoulder pain or they may be asymptomatic. Of note, there have been few reports of bilateral catamenial disease, and no reports, to our knowledge, of bilateral pathology proven pulmonary parenchymal endometriosis.
CASE
A 43-year-old with stage IV endometriosis and large leiomyoma underwent a laparoscopic hysterectomy and treatment of endometrial lesions in 2005. In March and April of 2011, she presented with bilateral pneumothoraces. She subsequently underwent video-assisted thoracoscopy as well as resection and fulguration of bilateral lung and diaphragmatic endometriosis. Pathology confirmed endometrial implants in the lung parenchyma bilaterally.
CONCLUSION
Catamenial pneumothorax is the most common presentation of thoracic endometriosis. However, bilateral catamenial pneumothoraces are rare. To the best of our knowledge, this case reflects the first report of pathology proven bilateral lung and diaphragm endometriosis.
引言
肺部和膈肌子宫内膜异位症较为罕见。患者可能出现诸如呼吸急促、胸痛和肩痛等症状，也可能无症状。值得注意的是，双侧月经期疾病的报道很少，据我们所知，尚无经病理证实的双侧肺实质子宫内膜异位症的报道。
病例
一名43岁患有IV期子宫内膜异位症和大的平滑肌瘤的患者于2005年接受了腹腔镜子宫切除术及子宫内膜病变治疗。2011年3月和4月，她出现双侧气胸。随后她接受了电视辅助胸腔镜检查以及双侧肺和膈肌子宫内膜异位症的切除和电灼治疗。病理证实双侧肺实质内有子宫内膜植入物。
结论
月经期气胸是胸段子宫内膜异位症最常见的表现。然而，双侧月经期气胸很少见。据我们所知，本病例是经病理证实的双侧肺和膈肌子宫内膜异位症的首例报道。
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