Download PDF
Thorac Cardiovasc Surg Rep 2014; 03(01): 058-060
DOI: 10.1055/s-0034-1383511
Case Report: Thoracic
Georg Thieme Verlag KG Stuttgart · New York

Spontaneous Pneumothorax due to Ectopic Deciduosis: A Case Report

Wojciech Dudek
1   Department of Thoracic Surgery, University Hospital of Erlangen, Erlangen, Germany
,
Waldemar Schreiner
1   Department of Thoracic Surgery, University Hospital of Erlangen, Erlangen, Germany
,
Johanna Strehl
2   Department of Pathology, University Hospital of Erlangen, Erlangen, Germany
,
Horia Sirbu
1   Department of Thoracic Surgery, University Hospital of Erlangen, Erlangen, Germany
› Author Affiliations
Further Information

Publication History

30 December 2013

11 April 2014

Publication Date:
16 September 2014 (online)

   Permissions and Reprints

Abstract

This report presents a 20-week pregnant 38-year-old woman with right-sided pneumothorax due to pulmonary deciduosis. Initial pleural drainage was ineffective. Video-assisted thoracoscopy revealed areas of consolidation within the lung parenchyma. A wedge resection with partial pleurectomy was performed. Histopathological examination showed subpleural decidual implants. The patient made a full recovery and was discharged on day 5. Videoscopic inspection of the lung parenchyma and pleura with resection of decidual foci is the recommended treatment for pneumothorax in pregnant women with pleuropulmonary deciduosis in whom classical pleural drainage is ineffective.

Keywords

pleuropulmonary ectopic deciduosis - spontaneous pneumothorax - thoracoscopic surgery
 

  • References

  • 1 Legras A, Mansuet-Lupo A, Rousset-Jablonski C , et al. Pneumothorax in women of child-bearing age: an update classification based on clinical and pathologic findings. Chest 2014; 145 (2) 354-360
    CrossrefPubMedGoogle Scholar
  • 2 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 (7) 429-430
    Article in Thieme ConnectPubMedGoogle Scholar
  • 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 (5) 280-282
    CrossrefPubMedGoogle Scholar
  • 4 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
    CrossrefPubMedGoogle Scholar
  • 5 Setúbal A, Sidiropoulou Z, Torgal M, Casal E, Lourenço C, Koninckx P. Bowel complications of deep endometriosis during pregnancy or in vitro fertilization. Fertil Steril 2014; 101 (2) 442-446
    CrossrefPubMedGoogle Scholar
  • 6 MacDuff A, Arnold A, Harvey J ; BTS Pleural Disease Guideline Group. Management of spontaneous pneumothorax: British Thoracic Society Pleural Disease Guideline 2010. Thorax 2010; 65 (Suppl. 02) ii18-ii31
    CrossrefPubMedGoogle Scholar
  • 7 Marshall MB, Ahmed Z, Kucharczuk JC, Kaiser LR, Shrager JB. Catamenial pneumothorax: optimal hormonal and surgical management. Eur J Cardiothorac Surg 2005; 27 (4) 662-666
    CrossrefPubMedGoogle Scholar