Öz
Endometriozis, uterus dışında endometrial glandlar ve stromanın bulunması olarak tanımlanır. Endometriozisin pulmoner tutulumu da görülebilmekte olup, en sık katamenial pnömotoraks kliniğiyle karşımıza çıkar. Çalışmamızda 38 yaşında nüks pnömotoraks nedeni ile opere edilen kadın hasta sunuldu. Cerrahi tedavi amacıyla videotorakoskopik cerrahi ile akciğer rezeksiyonu yapılan olguda diafragmatik plevrada endometriozise bağlı olduğu düşünülen lezyonlar saptandı. Pnömotoraksa sebebiyet verdiği düşünülen bu lezyonlar videotorakoskopik cerrahi ile tedavi edildi ve hastanın 2 yıllık takibinde rekürrens saptanmadı. Endometrozisli hastalarda pnömotoraks geliştiğinde katamenial pnömotoraks akılda bulundurulmalı, nüks gelişmesi durumunda ise videotorakoskopik cerrahi ile tanı ve tedavide başarı sağlanabileceği unutulmamalıdır.
Anahtar Kelimeler
Kaynakça
- Hwang S.M., Lee C.W., Lee B.S. Clinical features of thoracic endometriosis: a single center analysis. Obstet. Gynecol. Sci. 2015; 58: 223–31.
- Pankratjevaite L, Samiatina-Morkuniene D. A case report of thoracic endometriosis – A rare cause of haemothorax. Int J Surg Case Rep. 2017; 33: 139-42.
- Alifano M, Venissac N, Mouroux J. Recurrent pneumothorax associated with thoracic endometriosis. Surg Endosc. 2000; 14: 680.
- Elia S, De Felice L, Varvaras D, Sorrenti G, Mauriello A, Petrella G. Catamenial pneumothorax due to solitary localization of diaphragmatic endometriosis. Int J Surg Case Rep. 2015; 12: 19-22.
- Haga T, Kataoka H, Ebana H, et al. Thoracic endometriosis-related pneumothorax distinguished from primary spontaneous pneumothorax in females. Lung. 2014; 192: 58387.
- Hagneré P, Deswarte S, Leleu O. Endométriose thoracique: un diagnostic difficile. Rev Mal Respir. 2011; 28: 908–12.
- Bagan P, Le Pimpec Barthes F, Assouad J, et al. Catamenial pneumothorax: retrospective study of surgical treatment. Ann Thorac Surg. 2003; 75: 378–81.
- Shoaib Z. Junejo, Sandeep Singh Lubana, Sukhdip Singh Shina and Sandeep Singh Tuli A Case of Thoracic Endometriosis Syndrome Presenting with Recurrent Catamenial Pneumothorax, Am J Case Rep. 2018; 19: 573–6.
- D.J. Wood, K. Krishnam, M.J. Ward. Catamenial hemoptysis: a rare cause Thorax, 48 (1993), pp. 1048-9.
Öz
Endometriosis can be defined as the presence of endometrial glands and stroma outside the uterus. Pulmonary involvement of endometriosis can also be seen, and it is most frequently encountered with catamenial pneumothorax clinic. In our report, a 38-year-old woman operated due to recurrent pneumothorax is presented. In this case undergoing lung resection with Video-Assisted Thoracoscopic Surgery for the purpose of surgical treatment, lesions thought to be related to endometriosis were detected in the diaphragmatic pleura. These lesions, which caused pneumothorax, were treated with videothoracoscopic surgery and no recurrence was detected in the 2-year follow-up of the patient. Catamenial pneumothorax should be kept in mind when pneumothorax develops in patients with endometriosis, and in case of recurrence, it should not be forgotten that success in diagnosis and treatment can be achieved with videothoracoscopic surgery.
Anahtar Kelimeler
Kaynakça
- Hwang S.M., Lee C.W., Lee B.S. Clinical features of thoracic endometriosis: a single center analysis. Obstet. Gynecol. Sci. 2015; 58: 223–31.
- Pankratjevaite L, Samiatina-Morkuniene D. A case report of thoracic endometriosis – A rare cause of haemothorax. Int J Surg Case Rep. 2017; 33: 139-42.
- Alifano M, Venissac N, Mouroux J. Recurrent pneumothorax associated with thoracic endometriosis. Surg Endosc. 2000; 14: 680.
- Elia S, De Felice L, Varvaras D, Sorrenti G, Mauriello A, Petrella G. Catamenial pneumothorax due to solitary localization of diaphragmatic endometriosis. Int J Surg Case Rep. 2015; 12: 19-22.
- Haga T, Kataoka H, Ebana H, et al. Thoracic endometriosis-related pneumothorax distinguished from primary spontaneous pneumothorax in females. Lung. 2014; 192: 58387.
- Hagneré P, Deswarte S, Leleu O. Endométriose thoracique: un diagnostic difficile. Rev Mal Respir. 2011; 28: 908–12.
- Bagan P, Le Pimpec Barthes F, Assouad J, et al. Catamenial pneumothorax: retrospective study of surgical treatment. Ann Thorac Surg. 2003; 75: 378–81.
- Shoaib Z. Junejo, Sandeep Singh Lubana, Sukhdip Singh Shina and Sandeep Singh Tuli A Case of Thoracic Endometriosis Syndrome Presenting with Recurrent Catamenial Pneumothorax, Am J Case Rep. 2018; 19: 573–6.
- D.J. Wood, K. Krishnam, M.J. Ward. Catamenial hemoptysis: a rare cause Thorax, 48 (1993), pp. 1048-9.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 13 Haziran 2022 |
| Gönderilme Tarihi | 22 Nisan 2021 |
| Yayımlandığı Sayı | Yıl 2022Cilt: 61 Sayı: 2 |
