AI Article Synopsis

  • A 46-year-old woman on low-dose estrogen-progestin therapy for endometriosis developed a right-sided pneumothorax, which is a collapsed lung.
  • Surgical investigation revealed a pulmonary bulla and a small diaphragm defect, leading to the discovery of endometrial tissue in the lung, thus diagnosing thoracic endometriosis.
  • This case highlights that catamenial pneumothorax can still happen in patients receiving hormonal treatment for endometriosis, indicating the need for ongoing awareness among clinicians.

Article Abstract

A 46-year-old woman on low-dose estrogen-progestin (LEP) therapy for endometriosis developed a right-sided pneumothorax. Surgical findings included a pulmonary bulla in the right middle lung lobe and a small hole in the center tendon of the diaphragm, both of which were partially resected. Histopathology confirmed the presence of endometrial tissue, leading to a diagnosis of thoracic endometriosis. This case demonstrates that catamenial pneumothorax can occur despite LEP therapy, which is intended to suppress endogenous hormones. Clinicians should remain vigilant for this condition in patients with a history of endometriosis, even when hormonal treatment is in use.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11633373PMC
http://dx.doi.org/10.7759/cureus.75527DOI Listing

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