CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2022; 11(01): e67-e69
DOI: 10.1055/s-0042-1758115
Case Report: Thoracic

Spontaneous Recurrent Pneumothorax during Pregnancy Secondary to Ectopic Deciduosis

1   University of Colorado Anschutz School of Medicine, Aurora, CO
,
Morgan M. Sellers
2   Department of Surgery, Ernest E. Moore Shock Trauma Center at Denver Health, CO, USA
,
Alexander P. Morton
3   Division of GI, Trauma, and Endocrine Surgery, Department of Surgery, University of Colorado School of Medicine, Aurora, USA
4   Department of Surgery, Denver Health Medical Center, University of Colorado School of Medicine, Denver, Colorado
› Institutsangaben

Abstract

Background Ectopic deciduosis is a benign presence of endometrial tissue outside of the uterus during pregnancy that rarely presents with pleuropulmonary manifestations and recurrent pneumothorax.

Case Description We report a 35-year-old woman at 15 weeks' gestation with a history of recurrent intrapartum right pneumothorax found to have pleural, pulmonary, and diaphragmatic lesions and a middle lobe air leak. Wedge resection of the middle lobe and mechanical pleurodesis was performed. Histopathological analysis was progesterone receptor and PAX8 positive consistent with ectopic deciduosis.

Conclusion Ectopic deciduosis is a rare cause of recurrent pneumothorax in pregnancy and should be considered when evaluating these patients.



Publikationsverlauf

Eingereicht: 03. Juli 2022

Angenommen: 25. Juli 2022

Artikel online veröffentlicht:
09. November 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Mendes J, Costa A. Ectopic decidualization: a forgotten entity [in Portuguese]. Acta Med Port 2016; 29 (01) 63-72
  • 2 Mangla M, Nautiyal R, Shirazi N, Pati B. Ectopic cervical deciduosis: a rare cause of antepartum hemorrhage in mid trimester. Eurasian J Med 2021; 53 (02) 152-154
  • 3 Soares T, Oliveira MA, Panisset K. et al. Diaphragmatic endometriosis and thoracic endometriosis syndrome: a review on diagnosis and treatment. Horm Mol Biol Clin Investig 2021; •••
  • 4 Dudek W, Schreiner W, Strehl J, Sirbu H. Spontaneous pneumothorax due to ectopic deciduosis: a case report. Thorac Cardiovasc Surg Rep 2014; 3 (01) 58-60
  • 5 Flieder DB, Moran CA, Travis WD, Koss MN, Mark EJ. Pleuro-pulmonary endometriosis and pulmonary ectopic deciduosis: a clinicopathologic and immunohistochemical study of 10 cases with emphasis on diagnostic pitfalls. Hum Pathol 1998; 29 (12) 1495-1503
  • 6 Kim YD, Min KO, Moon SW. Thoracoscopic treatment of recurrent pneumothorax in a pregnant woman: a case of ectopic deciduosis. Thorac Cardiovasc Surg 2010; 58 (07) 429-430
  • 7 Yoshioka H, Fukui T, Mori S, Usami N, Nagasaka T, Yokoi K. Catamenial pneumothorax in a pregnant patient. Jpn J Thorac Cardiovasc Surg 2005; 53 (05) 280-282
  • 8 Sorokin P, Nikiforchin A, Panin A, Zhukov A, Gushchin V, Kurtser M. Diffuse ectopic deciduosis imitating peritoneal carcinomatosis with acute abdomen presentation: a case report and literature review. Case Rep Obstet Gynecol 2020; 2020: 8847082
  • 9 Gokulnath P, Soriano AA, de Cristofaro T, Di Palma T, Zannini M. PAX8, an emerging player in ovarian cancer. Adv Exp Med Biol 2021; 1330: 95-112
  • 10 Khizer K, Padda J, Khedr A. et al. Paired-Box Gene 8 (PAX8) and its association with epithelial carcinomas. Cureus 2021; 13 (08) e17208
  • 11 Garg R, , Sanjay, Das V, Usman K, Rungta S, Prasad R. Spontaneous pneumothorax: an unusual complication of pregnancy–a case report and review of literature. Ann Thorac Med 2008; 3 (03) 104-105
  • 12 Georgopapadakos N, Lioumpas D, Mpenakis G, Tsochrinis A, Tsarna E. Primary spontaneous pneumothorax in a 32-week complicated pregnancy. Cureus 2021; 13 (05) e15037
  • 13 Jain P, Goswami K. Recurrent spontaneous pneumothorax during pregnancy: a case report. J Med Case Reports 2009; 3: 81