Ufuk ÇAĞIRICI, Hasan YAVUZ, Ayşegül ÇEVİK ERGÖNÜL, Tevfik İlker AKÇAM

Nadir görülen bir pnömotoraks olgusu: katamenial pnömotoraks

Endometriozis, uterus dışında endometrial glandlar ve stromanın bulunması olarak tanımlanır. Endometriozisin pulmoner tutulumu da görülebilmekte olup, en sık katamenial pnömotoraks kliniğiyle karşımıza çıkar. Çalışmamızda 38 yaşında nüks pnömotoraks nedeni ile opere edilen kadın hasta sunuldu. Cerrahi tedavi amacıyla videotorakoskopik cerrahi ile akciğer rezeksiyonu yapılan olguda diafragmatik plevrada endometriozise bağlı olduğu düşünülen lezyonlar saptandı. Pnömotoraksa sebebiyet verdiği düşünülen bu lezyonlar videotorakoskopik cerrahi ile tedavi edildi ve hastanın 2 yıllık takibinde rekürrens saptanmadı. Endometrozisli hastalarda pnömotoraks geliştiğinde katamenial pnömotoraks akılda bulundurulmalı, nüks gelişmesi durumunda ise videotorakoskopik cerrahi ile tanı ve tedavide başarı sağlanabileceği unutulmamalıdır.

A rare pneumothorax case: catamenial pneumothorax

Endometriosis can be defined as the presence of endometrial glands and stroma outside the uterus. Pulmonary involvement of endometriosis can also be seen, and it is most frequently encountered with catamenial pneumothorax clinic. In our report, a 38-year-old woman operated due to recurrent pneumothorax is presented. In this case undergoing lung resection with Video-Assisted Thoracoscopic Surgery for the purpose of surgical treatment, lesions thought to be related to endometriosis were detected in the diaphragmatic pleura. These lesions, which caused pneumothorax, were treated with videothoracoscopic surgery and no recurrence was detected in the 2-year follow-up of the patient. Catamenial pneumothorax should be kept in mind when pneumothorax develops in patients with endometriosis, and in case of recurrence, it should not be forgotten that success in diagnosis and treatment can be achieved with videothoracoscopic surgery.

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