一例胸腔子宫内膜异位症病例报告——血胸的罕见病因
A case report of thoracic endometriosis - A rare cause of haemothorax.
作者信息
Pankratjevaite Lina, Samiatina-Morkuniene Diana
机构信息
Department of Surgery, Medical Academy, Hospital of Lithuanian University of Health Sciences, Kaunas, Lithuania.
Department of Thoracic Surgery, Medical Academy, Hospital of Lithuanian University of Health Sciences, Kaunas, Lithuania.
出版信息
Int J Surg Case Rep. 2017;33:139-142. doi: 10.1016/j.ijscr.2017.02.052. Epub 2017 Mar 4.
INTRODUCTION
The presence of endometrial tissue in airways, pleura and lung parenchyma is called thoracic endometriosis syndrome (TES). It is a rare pathology, and typically consists of catamenial pneumothorax, haemothorax, haemoptysis, and pulmonary nodules. We report a case of a 36-year-old woman with thoracic endometriosis causing catamenial haemothorax.
CONCLUSIONS
The diagnosis of thoracic endometriosis is complicated and often delayed. TES should be suspected in a reproductive age woman with exacerbating symptoms during the menstruation. Treatment may be medical and surgical.
引言
气道、胸膜和肺实质中存在子宫内膜组织被称为胸腔子宫内膜异位症综合征（TES）。这是一种罕见的病症，通常包括月经期气胸、血胸、咯血和肺结节。我们报告一例36岁女性因胸腔子宫内膜异位症导致月经期血胸的病例。
结论
胸腔子宫内膜异位症的诊断复杂且常常延迟。对于在月经期间症状加重的育龄女性应怀疑患有TES。治疗可采用药物和手术方法。
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