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KMID : 0358420070500111576
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Korean Journal of Obstetrics and Gynecology
2007 Volume.50 No. 11 p.1576 ~ p.1580
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A case of pulmonary endometriosis presenting with catamenial pneumothorax.
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Kim Min-Gyun
Kim Chung-Hoon
Lee Sa-Ra
Ju Da-Hye
Kim Sung-Hoon
Chae Hee-Dong
Kang Byung-Moon
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Abstract
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Endometriosis is a relatively common gynecologic disease. However thoracic endometriosis syndrome is exceedingly rare among various types of external endometriosis. We experienced a case of 35-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 computed tomography of the thorax, a chest tube was inserted after which bullectomy and pleurodesis using doxycycline were performed. A hormonal treatment with gonadotropin-releasing hormone (GnRH) agonist for 12-months was also conducted. However, right-sided pneumothorax recurred two times after these procedures. Subsequently, surgical excision of diaphragmatic lesion along with pleurodesis was underwent. To prevent recurrence, we maintained long-term GnRH agonist administration with add back therapy using low dose estrogen-progesterone. Menstruation stopped, and the chest pain disappeared. During a 19-months follow-up period, pneumothorax did not recur. We report this case with a brief review of the concerned literatures.
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KEYWORD
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Catamenial pneumothorax, Endometriosis, GnRH agonist
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