Thoracoscopic Treatment of Recurrent Pneumothorax in a Pregnant Woman: A Case of Ectopic Deciduosis

Abstract

We report here on a case of recurrent pneumothorax during pregnancy, which was successfully treated with thoracoscopic surgery. This report describes the intraoperative and histopathological findings of diaphragmatic and pulmonary ectopic deciduosis. Our case highlights the need for all surgeons to explore the diaphragm when performing surgery to treat pneumothorax in a woman, even if she is pregnant.

Diaphragm - pneumothorax - pregnancy

Reference

• 1 Schoenfeld A, Ziv E, Zeelel Y, Ovdia J. Catamenial pneumothorax – a literature review and report of an unusual case.  Obstet Gynecol Surv. 1986;  41 20-24
• 2 Flieder D B, Moran C A, Travis W D, Koss M N, Mark E J. Pleuro-pulmonary endometriosis and pulmonary ectopic deciduosis: a clinicopathologic and immunohistochemical study of 10 cases with emphasis on diagnostic pitfalls.  Human Pathol. 1998;  29 1495-1503
• 3 Yoshioka H, Fukui T, Mori S, Usami N, Nagasaka T, Yokoi K. Catamenial pneumothorax in a pregnant patient.  Jpn J Thorac Cardiovasc Surg. 2005;  53 280-282
• 4 Korom S, Canyurt H, Missebach A et al. Catamenial pneumothorax: Clinical approach and systemic review of the literature.  J Thorac Cardiovasc Surg. 2004;  128 502-508
• 5 Alifano M, Jablonski C, Kadiri H et al. Catamenial and noncatamenial, endometriosis-related or nonendometriosis-related pneumothorax referred for surgery.  Am J Respir Crit Care Med. 2007;  176 1048-1053