Recurrent pneumothorax associated with thoracic endometriosis
M Alifano1, N Vénissac, J Mouroux
1Service 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.
Abstract:
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.
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