title: Anesthetic evaluation and management of a patient with thoracic endometriosis syndrome presenting for elective surgery.
abstract: Thoracic endometriosis syndrome is a relatively uncommon disorder characterized by recurrent pneumothoraces, hemothorax, chest pain, dyspnea, and hemoptysis within 48 to 72 hours of menstruation. A 34 year old, ASA physical status 2 woman with recurrent catamenial pneumothoraces due to thoracic endometriosis syndrome is presented. After treatment with video-assisted thoracoscopic surgery, she underwent successful elective diagnostic abdominal laparoscopy without incident. The presence of parenchymal injury and damage predisposes these patients to ventilator-induced lung injury. Postponement of surgery until the intermenstrual period, with lung protective ventilation, allows patients with this disease to successfully undergo general anesthesia and surgery.
authors.affiliation: Department of Anesthesiology, College of Physicians & Surgeons/Columbia University Medical Center, New York, NY 10032, USA.
authors.forename: Christopher A J
authors.initials: CA
authors.lastname: Webb
authors.forename: Garret M
authors.initials: GM
authors.lastname: Weber
authors.forename: Richard K
authors.initials: RK
authors.lastname: Raker
mesh_terms: D000328:Adult; D000768:Anesthesia, General / Q000379:methods*; D004715:Endometriosis / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008593:Menopause; D010995:Pleural Diseases / Q000150:complications / Q000601:surgery*; D011030:Pneumothorax / Q000209:etiology / Q000601:surgery; D012008:Recurrence; D013577:Syndrome; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*; D055397:Ventilator-Induced Lung Injury / Q000517:prevention & control