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Mun, Jeon, Cho, Kim, Bae, Lee, and Cho: A case of diaphragmatic endometriosis presenting with catamenial pneumothorax
Case Report
Korean Journal of Obstetrics & Gynecology

Korean Journal of Obstetrics & Gynecology 2012; 55(7): 530-533.

Published online: 13 July 2012

DOI: https://doi.org/10.5468/KJOG.2012.55.7.530

A case of diaphragmatic endometriosis presenting with catamenial pneumothorax

Ga-Ul Mun, MD1, Hye-Ji Jeon, MD1, Eun-Kyu Cho, MD1, Yun-Sook Kim, MD1, Dong-Han Bae, MD1, Seok-Yul Lee, MD2, Hyun-Deuk Cho, MD3

1Department of Obstetrics and Gynecology, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea.

2Department of Cardiovascular and Thoracic Surgery, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea.

3Department of Pathology, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea.

Corresponding author: Yun-Sook Kim, MD. Department of Obstetrics and Gynecology, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, 31 Suncheonhyang 6-gil, Dongnam-gu, Cheonan 330-930, Korea. Tel: +82-41-570-2150, Fax: +82-41-571-7887, drsook@schmc.ac.kr

Received 7 February 2012       Revised 30 April 2012       Accepted 15 May 2012

Copyright © 2012. Korean Society of Obstetrics and Gynecology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Endometriosis is a relatively common gynecologic disease. Thoracic endometriosis syndrome occupies half of various types of external endometriosis, however it is very rare condition. We experienced a case of 40-year-old woman who presented with recurrent episodes of spontaneous right-sided pneumothorax that occurred during her menstrual periods. After the localization of the disease site by means of chest radiography and high resolution computed tomography of the thorax, thoracoscopic assisted diaphragm endometriosis resection and suture were performed. After pathologic diagnosis, a hormonal treatment with gonadotropin-releasing hormone agonist was also conducted. We report this case with a brief review of the concerned literatures.

Keywords: Catamenial pneumothorax, Endometriosis, Thoracoscopic operation

Figures and Tables

Fig. 1
Simple chest X-ray showed right side pneumothorax.
kjog-55-530-g001
Fig. 2
High resolution chest computed tomography showed right side pneumothorax (arrowhead) with passive subsegmental atelectasis (arrow) in right middle lobe and right lower lobe.
kjog-55-530-g002
Fig. 3
Microscopic finding of the diaphragm showing endometrial stromal tissue and glands (H&E, ×200).
kjog-55-530-g003

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