Recurrent pneumothorax associated with thoracic endometriosis.
Herein we report the cause of a 46-year-old woman who presented with recurrent right pneumothorax following hysterectomy with right salpingo-oophorectomy for pelvic endometriosis. Video-assisted thoracoscopy revealed endometrial implants in the posterior parietal pleura and the middle lobe. Ruptured apical blebs were also present. The middle lobe lesions and the apical blebs were resected. A partial pleurectomy was carried out to remove the endometrial foci in the parietal pleura; the remaining pleural surface was mechanically abraded. The favorable outcome was confirmed at 2-year follow-up.
Alifano
M
M
Service de Chirurgie Thoracique, H#244;pital Pasteur, Pavillon H, C.H.U de Nice, 30 Avenue de la voie Romaine-BP 69, 06002 Nice, Cedex 1, France.
Vénissac
N
N
Mouroux
J
J
D004715:Endometriosis / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects / Q000379:methods; D008171:Lung Diseases / Q000209:etiology / Q000601:surgery*; D008875:Middle Aged; D010052:Ovariectomy / Q000379:methods; D010995:Pleural Diseases / Q000209:etiology / Q000601:surgery*; D011030:Pneumothorax / Q000209:etiology / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*; D012008:Recurrence; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*