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1دورية أكاديمية
المؤلفون: Vuksanovic-Bozaric, Aleksandra, Vukcevic, Batric, Abramovic, Marija, Vukcevic, Nemanja, Popovic, Natasa, Radunovic, Miroslav
المصدر: Surgical and Radiologic Anatomy ; volume 41, issue 2, page 161-168 ; ISSN 0930-1038 1279-8517
مصطلحات موضوعية: Radiology, Nuclear Medicine and imaging, Pathology and Forensic Medicine, Surgery, Anatomy
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2دورية أكاديمية
المصدر: Surgical and Radiologic Anatomy ; volume 40, issue 10, page 1173-1175 ; ISSN 0930-1038 1279-8517
مصطلحات موضوعية: Radiology, Nuclear Medicine and imaging, Pathology and Forensic Medicine, Surgery, Anatomy
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3دورية أكاديمية
المؤلفون: Radunovic, Miroslav, Vukcevic, Batric, Radojevic, Nemanja
المصدر: Surgical and Radiologic Anatomy ; volume 40, issue 8, page 959-961 ; ISSN 0930-1038 1279-8517
مصطلحات موضوعية: Radiology, Nuclear Medicine and imaging, Pathology and Forensic Medicine, Surgery, Anatomy
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4
المؤلفون: Milacic Bojan, Vujadinovic Obrad, Vukcevic Batric, Milic Petar
مصطلحات موضوعية: catamenial, diaphragm, endometriosis, pneumothorax, surgery
الوصف: Introduction. Catamenial pneumothorax represents spontaneous pneumothorax occuring during the period of 72-96h before and after menstrual bleeding. It is frequently associated with thoracic endometriosis. However, certain cases are not associated with any identifiable thoracic pathology. Case report. A 42-year-old woman with a history of pelvic endometriosis presented with sudden cough and shortness of breath on the first day of menstrual bleeding. A chest x-ray revealed a complete right pneumothorax. Prior to this, she underwent 7 failed in vitro fertilization attempts. Video-assisted thoracoscopic surgery showed pulmonary bullous lesions, as well as a diaphragmatic fenestration. An atypical resection of the pulmonary apex was performed with an endostapler. Also, diaphragm plication was performed with Ethibond sutures. The definitive histopathological examination of the pulmonary tissue was negative for endometriosis. A postoperative course of GnRH agonist triptorelin was administered during the period of 6 months. The patient's postoperative recovery was uneventful, without a recurrence of pneumothorax to this day. Conclusions. There is a possibility that the ovarian hyperstimulation caused the rupture of the pulmonary bullae. It is also plausible that this patient had endometriotic diaphragmatic fenestrations activated by ovarian hyperstimulation, leading to their rupture and pneumothorax. Early diagnosis and timely surgical treatment dealing with all thoracic pathology, as well as adjuvant hormonal treatment, may reduce the recurrence rate of catamenial pneumothorax.
