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Thoracic endometriosis-related non-catamenial pneumothorax with peculiar histological findings

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Abstract

Thoracic endometriosis-related non-catamenial pneumothorax is a rare entity whose pathogenesis is still less unclear than catamenial pneumothorax one. Hormonal therapy and/or talc pleurodesis are not sufficient for successful management. Surgical videothoracoscopic resection has a central role in the treatment. We displace a case of thoracic endometriosis-related non-catamenial pneumothorax presenting with recurrent right pneumothorax, surgically treated three times and misdiagnosed at first two interventions. At third operation, unusual histological findings on diaphragmatic and pulmonary specimens were disclosed. These results could partially clarify the presentation of some complicated misdiagnosed cases. More has to be investigated about pathogenesis of the disease and influence of the hormonal balance on it.

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Authors and Affiliations

  1. Department of Thoracic Surgery and Thoracic Endoscopy, Eugenio Morelli Hospital, via Zubiani 33, Sondalo, SO, Italy

    Elisa Scarnecchia, Francesco Inzirillo & Claudio Della Pona

  2. Department of Anatomic Pathology and Histology, Eugenio Morelli Hospital, Sondalo, Italy

    Paolo Declich

  3. Department of Medical and Surgical Sciences (DIMEC), Alma Mater Studiorum, University of Bologna, Bologna, Italy

    Elisa Scarnecchia

Authors
  1. Elisa Scarnecchia
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  2. Francesco Inzirillo
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  3. Paolo Declich
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  4. Claudio Della Pona
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Correspondence to Elisa Scarnecchia.

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Scarnecchia, E., Inzirillo, F., Declich, P. et al. Thoracic endometriosis-related non-catamenial pneumothorax with peculiar histological findings. Gen Thorac Cardiovasc Surg 68, 1040–1042 (2020). https://doi.org/10.1007/s11748-019-01184-6

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  • DOI: https://doi.org/10.1007/s11748-019-01184-6

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