Journal of Yeungnam Medical Science

Yeungnam University College of Medicine, Yeungnam University Institute Medical Science (영남대 의대 학술지 편집위원회)
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A Case of Pleural Endometriosis Presented as Right Sided Hemothorax in a Patient Who Underwent Kidney Transplantation

신장이식 후 우측 혈흉으로 발현한 흉막자궁내막증 1예

  • Shin, Eun-Hye (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Shin, Bo-Mi (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Ha, Yeon-Jung (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Jang, Il-Young (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Jung, Ji-Won (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Cho, Hyung-Jin (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Park, Su-Kil (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine)
  • 신은혜 (울산대학교 의과대학 서울아산병원 내과학교실) ;
  • 신보미 (울산대학교 의과대학 서울아산병원 내과학교실) ;
  • 하연정 (울산대학교 의과대학 서울아산병원 내과학교실) ;
  • 장일영 (울산대학교 의과대학 서울아산병원 내과학교실) ;
  • 정지원 (울산대학교 의과대학 서울아산병원 내과학교실) ;
  • 조형진 (울산대학교 의과대학 서울아산병원 내과학교실) ;
  • 박수길 (울산대학교 의과대학 서울아산병원 내과학교실)
  • Received : 2013.05.15
  • Accepted : 2013.07.12
  • Published : 2013.12.31
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Abstract

Thoracic endometriosis is an uncommon disease that has four main forms: catamenial pneumothorax, hemothorax, hemoptysis, and pulmonary nodules. Since the growth of endometrial tissue depends on the presence of estrogen, thoracic endometriosis usually occurs in menstruating women between 25 and 35 years of age. Menstrual disturbances are common in women with chronic kidney disease (CKD). However, they could be reversed after kidney transplantation. Therefore, previously asymptomatic endometriosis may become symptomatic after kidney transplantation. A 49-year-old woman with CKD underwent kidney transplantation. A month later, she experienced dyspnea, and hemothorax in her right hemithorax. However, there was no evidence of infectious diseases and malignancy in thoracentesis, pleural biopsy, and computed chest tomography (CT). The serum and pleural fluid levels of his carbohydrate antigen 125 were elevated. Hemothorax secondary to pleural endometriosis was suspected. We tried hormonal therapy, and the hemothorax disappeared. At the sixth-month follow-up, there was no recurrence of hemothorax.

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