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Pulmonary lymphangiomyomatosis causing bilateral pneumothorax during pregnancy
1Department of Surgery, Lutheran General Hospital, Park Ridge, Illinois.
The Annals of Thoracic Surgery
|April 1, 1993
Summary
A pregnant woman with bilateral spontaneous pneumothorax was diagnosed with lymphangiomyomatosis. Surgical treatment via pleurodesis was successful, highlighting the importance of recognizing this rare lung disease.
Area of Science:
- Pulmonology
- Thoracic Surgery
- Obstetrics
Background:
- Lymphangiomyomatosis (LAM) is a rare, progressive lung disease.
- LAM can present with spontaneous pneumothorax, particularly in women of reproductive age.
- Pregnancy is known to potentially exacerbate LAM.
Observation:
- A 32-year-old pregnant woman (12 weeks gestation) presented with bilateral spontaneous pneumothorax.
- Initial treatment with tube thoracostomy failed to resolve the pneumothorax.
- Surgical intervention was required for diagnosis and management.
Findings:
- Right and left thoracotomy revealed pulmonary lymphangiomyomatosis.
- The condition was successfully treated with pleurodesis.
- This case underscores the diagnostic challenges of LAM in pregnancy.
Implications:
- Thoracic surgeons may encounter lymphangiomyomatosis, necessitating prompt diagnosis and treatment.
- Early recognition and surgical intervention are crucial for managing LAM-related pneumothorax.
- Further research into LAM management during pregnancy is warranted.