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产后胸段子宫内膜异位症:一例报告

Postpartum Thoracic Endometriosis: A Case Report.

作者信息

Garber Susan E, Lammers Katherine S

机构信息

Obstetrics and Gynecology, Rochester General Hospital, Rochester, USA.

School of Medicine, St. George's University, True Blue, GRD.

出版信息

Cureus. 2025 Apr 29;17(4):e83199. doi: 10.7759/cureus.83199. eCollection 2025 Apr.

Abstract

Thoracic endometriosis is a rare disease characterized by the presence of endometrial tissue within the thoracic cavity. Diagnostic findings, symptom presentations, and treatment methods have varied in defining thoracic endometriosis. Most criteria, however, require spontaneous pneumothorax within 72 hours of menses as the for this diagnosis. This report describes a case of spontaneous pneumothorax from thoracic endometriosis in a postpartum female, a unique presentation not yet reported in the literature. The patient clinically improved with oxygen via a non-rebreather mask, and no additional intervention was required as the patient clinically improved on her own. Although there are many theories, there is no single theory that fully explains the pathogenesis of this disease. With further research on this disease, there is hope for a better understanding of the etiology and, subsequently, better treatment options.

摘要

胸腔子宫内膜异位症是一种罕见疾病,其特征是胸腔内存在子宫内膜组织。在定义胸腔子宫内膜异位症时,诊断结果、症状表现和治疗方法各不相同。然而,大多数标准要求在月经72小时内出现自发性气胸作为该诊断的依据。本报告描述了一例产后女性因胸腔子宫内膜异位症导致的自发性气胸病例,这是一种尚未见文献报道的独特表现。患者通过非重复呼吸面罩吸氧后临床症状改善,且由于患者自行临床好转,无需额外干预。尽管有许多理论,但没有一个理论能完全解释这种疾病的发病机制。随着对这种疾病的进一步研究,有望更好地理解其病因,进而获得更好的治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/413a/12121934/abf715655f97/cureus-0017-00000083199-i01.jpg

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