子宫内膜异位症伴胸腔积液和腹水。一例用醋酸萘法瑞林治疗的病例报告。
Endometriosis with a pleural effusion and ascites. Report of a case treated with nafarelin acetate.
作者信息
Shek Y, De Lia J E, Pattillo R A
机构信息
Department of Obstetrics and Gynecology, Medical College of Wisconsin, Milwaukee, USA.
出版信息
J Reprod Med. 1995 Jul;40(7):540-2.
BACKGROUND
Although endometriosis is generally confined to the pelvis, it may occur at remote sites with unusual manifestations. Rare examples include pulmonary endometriosis and endometriosis associated with ascites. These complications represent diagnostic and therapeutic dilemmas, especially when both occur concurrently in the same patient.
CASE
A 21-year-old nulligravida had a history of endometriosis and complained of severe dyspnea and weight loss. Pleural effusion and pelvic ascites associated with recurrent endometriosis were found. The patient was treated with thoracentesis and nafarelin acetate nasal spray. A remarkable improvement in her condition occurred, and the side effects of the spray were minimal during treatment.
CONCLUSION
Gonadotropin-releasing hormone agonist therapy is recommended as the initial treatment for endometriotic ascites and/or pleural effusion.
背景
虽然子宫内膜异位症通常局限于盆腔，但它可能在远处部位出现不寻常的表现。罕见的例子包括肺子宫内膜异位症和与腹水相关的子宫内膜异位症。这些并发症带来了诊断和治疗上的难题，尤其是当两者同时出现在同一患者身上时。
病例
一名21岁未孕女性有子宫内膜异位症病史，主诉严重呼吸困难和体重减轻。发现有与复发性子宫内膜异位症相关的胸腔积液和盆腔腹水。该患者接受了胸腔穿刺术和醋酸那法瑞林鼻腔喷雾剂治疗。她的病情有显著改善，且治疗期间喷雾剂的副作用极小。
结论
推荐促性腺激素释放激素激动剂疗法作为子宫内膜异位症相关性腹水和/或胸腔积液的初始治疗方法。
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