• Journal of Chest Surgery
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• 제41권2호
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• pp.285-288
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• 2008

이십대에서 삼십대 사이의 여성에서 월경주기와 연관되어 반복적으로 기흉이 발생하는 경우 월경성 기흉과 관련되어 있을 수 있다. 월경성 기흉은 월경의 시작 전후 72시간 이내 반복적으로 발생하는 기흉으로 그 원인과 병태생리가 아직 확립되지 않은 드문 질환이다. 저자들은 2명의 여자 환자에서 발생한 월경성 기흉에 대하여 자궁내막증 및 횡격막 결손을 포함하는 횡격막 부분 절제술을 통한 치료를 경험하였기에 보고하는 바이다.

• Journal of Chest Surgery
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• 제39권4호
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• pp.328-331
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• 2006

월경과 동반되는 재발성 자연 기흉은 1958년 Maurer 등에 의해 최초로 기술되었으며 후에 Lillington 등은 이 증후군을 월경성 기흉이라 명명하고 1972년 5명의 환자를 보고한 바 있다. 월경성 기흉은 가임기 여성에서 월경 시작 전후 72시간 내에 발생하는 질환으로 대부분의 경우 우측에서 재발성으로 발병하나 그 발생기전은 아직 명확하지 않은 드문 질환이다. 저자들은 최근 37세 여자 환자에 발생한 월경성 기흉에 대하여 흉강경 수술로 치료하였기에 문헌고찰과 함께 보고하는 바이다.

• Journal of Chest Surgery
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• 제57권5호
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• pp.484-489
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• 2024

Background: Catamenial pneumothorax (CP) is a rare form of spontaneous pneumothorax that is linked to endometriosis; thus, it predominantly manifests in women of reproductive age. Considerable research has explored the potential benefits of postoperative hormone therapy following various surgical interventions. This study was performed to examine the clinical implications of postoperative hormone treatment in patients with CP. Methods: The study included patients who underwent surgical intervention for CP between November 2009 and February 2023. These procedures included wedge resection, diaphragm resection, and total pleural coverage. Recurrence-free survival was analyzed using the Kaplan-Meier log-rank test to assess the impact of hormone therapy. Additionally, Cox proportional hazards analysis was employed to identify risk factors associated with postoperative CP recurrence. Results: The study included 41 patients, with a median age of 38.4 years. Among them, 27 individuals received hormone therapy, 8 of whom experienced recurrence during a median follow-up period of 1 year. Patients who received hormone therapy exhibited a lower rate of recurrence than those who did not; however, the difference was not statistically significant, likely due to the small sample size. Side effects of hormone therapy included depression (6.8%), excessive sweating (3.4%), and headache (3.4%). In the analysis of risk factors for postoperative recurrence, diaphragm resection emerged as a protective factor (hazard ratio, 0.16; 95% confidence interval, 0.03-0.77; p=0.022). Conclusion: Hormone treatment combined with surgery did not significantly impact recurrence in patients with CP. The application of diaphragm resection was the sole factor that displayed significance in preventing CP recurrence.

• Journal of Chest Surgery
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• 제38권7호
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• pp.518-521
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• 2005

흉부 자궁내막증에 의한 기흉은 드문 질환으로 일반적으로 월경과 연관되어 재발하여 발생하는 경우 월경성 기흉(Catamenial pneumothorax)으로 명명된다. 발생 기전은 아직 명확히 밝혀지지 않았으나, 단순 폐기포의 파열, 장측 늑막에 형성된 자궁내막조직에 의하여 발생된 경우, 횡격막에 형성된 자궁내막조직에 의한 횡격막결손부위를 통한 공기의 이동 등으로 설명되고 있다. 전형적인 월경성 기흉은 주로 30-40대 여성에서 월경 후 48-72시간 안에 발생하며 편측성으로 우측에 호발하는 것으로 알려지고 있다. 본 저자들은 양측 성으로 발생한 자발성 기흉 환자에서 시행한 개흉술로 절제된 폐의 병리조직검사 소견상 '자궁내막증(endometriosis)'으로 확진된 1예를 경험하였기에 보고한다.

• Journal of Chest Surgery
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• 제24권8호
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• pp.757-764
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• 1991

We have observed 360 cases of spontaneous pneumothorax from January 1980 to May 1991 at the department of Thoracic and Cardiovascular Surgery, Chosun University Hospital. Males occupied 266 cases[73.9%] and females 94 cases[26.1%], and its ratio was 2.8: l. The age of patients ranged from neonate[5 days] to 84 years old. The site of pneumothorax was right in 50.3%, left in 43.3% and bilateral in 6.4%a. The clinical symptoms were frequently dyspnea, chest pain and coughing. The associated pulmonary lesions were shown pulmonary tuberculosis in 199 cases[55.3%], bullae in 54, pulmonary emphysema in 31, COPD in 17, pneumonia in 6, lung cancer in 5, paragonimiasis in 5, catamenial pneumothorax in 3 and unknown underlying pathology in 39 cases. The results of surgical management of spontaneous pneumothorax are followings: 288 out of 360 cases[80.0%] were cured by closed thoracotomy, 53 cases[14.8%] were cured by open thoracotomy. Open thoracotomy was the most effective procedure in persistent air leakage, recurrent pneumothorax, visible bleb or bullae on the chest X-ray, associated lesion, bilateral simultaneous pneumothorax, parenchymal incomplete lung expansion and bleeding after closed thoracotomy. The incidence of complication was developed in 10. ado and recurrent rate was seen in 10.6%. There was no operative death.

• Tuberculosis and Respiratory Diseases
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• 제60권5호
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• pp.576-580
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• 2006

폐 자궁내막증은 월경 시 주기적인 각혈을 동반하는 매우 드문 질환이다. 치료법으로는 호르몬요법인 내과적 방법과 외과적으로 절제하는 방법이 있다. 호르몬 요법은 가임기의 젊은 여성에게 불임을 유발한다는 제약점이 있으므로 대부분의 환자에서 수술 치료를 선택하게 된다. 흉강경을 이용한 절제는 젊은 여성에게 흉터를 최소화하고 통증과 회복기간을 줄일 수 있지만 정확히 병변의 위치를 찾아 자궁내막조직이 남아 재발하지 않도록 완전히 병변을 제거하기가 쉽지 않다. 본 증례에서는 월경 시 각혈을 동반한 17세 된 미혼여성에게 발견된 폐 자궁내막증을 흉강경을 이용하여 절제하였으며, 수술 후 8개월의 기간 동안 재발없이 관찰 중이다.

• Clinical and Experimental Reproductive Medicine
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• 제20권2호
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• pp.177-181
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• 1993

Endometriosis involving sites outside the pelvic cavity is a relatively uncommon occurrence and its frequency is cited as being less than one percent of all occurences of endometriosis. Sites previously reported in literature have described involvement of the extraperitoneal portion of the round ligament, the rectosigmoid, the appendix, and the ileum. Other more distal sites reported to have been found to have endometriosis lesions include the inguinal ligaments, the umbilicus, abdominal incisional wounds, thoracic lesions involving the pleura or diaphragm which may result in catamenial pneumothorax, the kidneys, and vulvar episiotomy wounds. Endometriosis have even been reported to occur in males. In this presentation, three cases of endometriosis, two involving the vulvar area and one involving a Pfannenstiel incision wound, is presented with a review of the pertinent literature in order to discuss its etiology, pathology, diagnosis and treatment.

• Journal of Yeungnam Medical Science
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• 제30권2호
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• pp.145-148
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• 2013

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.