Department of Thoracic Surgery and Thoracic Endoscopy, Eugenio Morelli Hospital, via Zubiani 33, Sondalo, SO, Italy.
Department of Medical and Surgical Sciences (DIMEC), Alma Mater Studiorum, University of Bologna, Bologna, Italy.
Gen Thorac Cardiovasc Surg. 2020 Sep;68(9):1040-1042. doi: 10.1007/s11748-019-01184-6. Epub 2019 Aug 1.
Thoracic endometriosis-related non-catamenial pneumothorax is a rare entity whose pathogenesis is still less unclear than catamenial pneumothorax one. Hormonal therapy and/or talc pleurodesis are not sufficient for successful management. Surgical videothoracoscopic resection has a central role in the treatment. We displace a case of thoracic endometriosis-related non-catamenial pneumothorax presenting with recurrent right pneumothorax, surgically treated three times and misdiagnosed at first two interventions. At third operation, unusual histological findings on diaphragmatic and pulmonary specimens were disclosed. These results could partially clarify the presentation of some complicated misdiagnosed cases. More has to be investigated about pathogenesis of the disease and influence of the hormonal balance on it.
与胸腔子宫内膜异位症相关的非月经性气胸是一种罕见的病症，其发病机制仍不如月经性气胸清楚。激素治疗和/或滑石粉胸膜固定术不足以进行成功的管理。手术胸腔镜切除术在治疗中起着核心作用。我们介绍了一例与胸腔子宫内膜异位症相关的非月经性气胸病例，该患者表现为反复发作的右侧气胸，已进行了三次手术治疗，前两次干预被误诊。在第三次手术中，揭示了膈肌和肺标本上不寻常的组织学发现。这些结果可以部分阐明一些复杂的误诊病例的表现。需要进一步研究疾病的发病机制以及激素平衡对其的影响。
