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相關文獻
- Endometriosis Associated with Hemothorax
- 胸腔鏡對肋膜積液之診斷價值
- Diagnostic Thoracoscopy for Undiagnosed Pleural Effusions
- Video-Assisted Thoracoscopic Surgery with Simultaneous Minithoracotomy for Spontaneous Hemponeumothorax
- Video-Assisted Thoracoscopic Surgery for Early Evacuation of Traumatic Clotted Hemothoraces
- 胸腔內子宮內膜異位症候群(Thoracic Endometriosis Syndrome)
- Hemorrhagic Shock Due to Intercostal Artery Laceration after Thoracocentesis--A Case Report
- Catamenial Pneumothorax Due to Pulmonary Endometriosis--A Case Report
- Successful Treatment with Video-assisted Thoracoscopic Surgery of Simultaneous Bilateral Spontaneous Pneumothorax Complicated with Unilateral Hemothorax
- Thoracic Endometriosis--A Case Report and Literature Review
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題 名 | Endometriosis Associated with Hemothorax=子宮內膜異位相關之血胸 |
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作 者 | 李鴻宗; 王鴻昌; 黃雅堂; 張晃宙; 盧朝勇; | 書刊名 | 中華醫學會雜誌 |
卷 期 | 69:1 民95.01 |
頁 次 | 頁42-46+CA08 |
分類號 | 415.432、415.432 |
關鍵詞 | 子宮內膜異位; 血胸; 肋膜積液; 胸腔鏡; Endometriosis; Hemothorax; Pleural effusion; Thoracoscopy; |
語 文 | 英文(English) |
英文摘要 | Bloody pleural effusion is rarely associated with endometriosis. To effectively treat this condition, it is important to differentiate the malady from other common diseases such as malignancy or tuberculosis. We describe the case of a 40-year-old multiparous female featuring right-sided hemothorax presenting with right shoulder pain and progressive shortness of breath for the preceding 2 months. Thoracoscopy disclosed grossly negative findings apart from multiple small pores in the right hemi-diaphragm with blood clots within them. Examination of the thoracoscopic biopsy specimens showed chronic pleuritis without evidence of malignancy or tuberculosis. Pelvic endometriosis was considered a possible diagnosis according to the results of abdominal computed tomography (CT) scan, transvaginal sonography, and the results of dilatation and curettage. Periodic episodes of symptoms concurrent with menstruation led to the suspicion of a relationship between these conditions in our patient. Despite the patient undergoing an abdominal total hysterectomy and adhesiolysis without salpingo-oophorectomy, recurrent right-sided bloody pleural effusion developed 1.5 months subsequent to surgery. As a consequence, danazol (400 mg/day) was maintained because of the endometriosis associated with pleural effusion. One year of regular follow-up later, there was no evidence of recurrent pleural effusion. We considered that the bloody pleural fluid arose via seepage from the pelvic endometriosis through the pores of the right hemi-diaphragm during menstruation. |
本系統中英文摘要資訊取自各篇刊載內容。