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Obstet Gynecol Sci > Volume 55(7); 2012 > Article
Korean Journal of Obstetrics & Gynecology 2012;55(7):530-533.
DOI: https://doi.org/10.5468/KJOG.2012.55.7.530    Published online July 13, 2012.
A case of diaphragmatic endometriosis presenting with catamenial pneumothorax.
Ga Ul Mun, Hye Ji Jeon, Eun Kyu Cho, Yun Sook Kim, Dong Han Bae, Seok Yul Lee, Hyun Deuk Cho
1Department of Obstetrics and Gynecology, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea. drsook@schmc.ac.kr
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.
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.
Key Words: Catamenial pneumothorax, Endometriosis, Thoracoscopic operation


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