一名年轻女性的呼吸急促，胸腔子宫内膜异位症罕见病例报告。
Shortness of breath in a young lady, rare case report of thoracic endometriosis.
作者信息
Kyejo Willbroad, Ismail Allyzain, Rubagumya Davis, Bakari Rahma, Kaguta Munawar, Matillya Nancy
机构信息
Department of Family Medicine, Aga Khan University, P.O. Box 38129, Dar Es Salaam, Tanzania.
Department of General Surgery, Aga Khan University, P.O. Box 38129, Dar Es Salaam, Tanzania.
出版信息
Int J Surg Case Rep. 2022 Jun;95:107226. doi: 10.1016/j.ijscr.2022.107226. Epub 2022 May 18.
INTRODUCTION AND IMPORTANCE
Endometrial glandular tissue can implant in the thorax of women suffering from endometriosis. The clinical presentation is depends on site of implantation. Complications include pneumothorax, pneumohemothorax or hemothorax.
CASE PRESENTATION
A 31 year old woman with history of infertility presented with shortness of breath and was found to have a significant right sided pneumohemothorax. Drainage was done followed by chemical pleurodesis using bleomycin with resolution of symptoms on her follow up.
CLINICAL DISCUSSION
Thoracic endometriosis tend to present with chronic or sub-acute symptoms which are non-specific symptoms leading to late diagnosis. Video Assisted Thoracoscopic surgery offer both diagnostic and therapeutic in thoracic endometriosis. However in limited settings chemical pleurodesis can be carried out done to prevent recurrence of shortness of breath due to thoracic endometriosis.
CONCLUSION
Therefore, clinical suspicion of thoracic endometriosis in evaluation of shortness of breath in a young lady with history of infertility or pelvic surgery is indispensable.
引言与重要性
子宫内膜腺组织可植入患有子宫内膜异位症女性的胸腔。临床表现取决于植入部位。并发症包括气胸、血气胸或血胸。
病例介绍
一名有不孕史的31岁女性因呼吸急促就诊，发现右侧有大量血气胸。进行了引流，随后使用博来霉素进行化学胸膜固定术，随访时症状缓解。
临床讨论
胸腔子宫内膜异位症往往表现为慢性或亚急性症状，这些非特异性症状导致诊断延迟。电视辅助胸腔镜手术对胸腔子宫内膜异位症具有诊断和治疗作用。然而，在有限的情况下，可以进行化学胸膜固定术以防止因胸腔子宫内膜异位症导致的呼吸急促复发。
结论
因此，在评估有不孕史或盆腔手术史的年轻女性呼吸急促时，临床怀疑胸腔子宫内膜异位症是必不可少的。
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