胸部子宫内膜异位症:一名非洲黑人妇女的罕见疾病

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL
J. Ogunkoya, T. Solaja, A. F. Ogunlade, M. Ogunmola
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引用次数: 1

摘要

子宫内膜异位症是一种慢性妇科疾病,其特征是子宫腔外解剖部位和器官中存在子宫内膜腺体和间质。子宫内膜异位症的确切患病率很难确定,因为许多妇女仍然无症状。然而,子宫内膜异位症影响了大约10%到15%的女性。胸段子宫内膜异位症(TES)是腹腔外最常见的子宫内膜异位症。它是指胸腔内的子宫内膜异位症,包括肺实质、隔膜和胸膜表面。可表现为绒毛性胸痛、气胸、咯血、血胸、绒毛性咯血和肺结节。案例总结。39岁已婚女性,复发性右侧胸痛22年,复发性咳嗽20多年,进行性呼吸困难1个月。胸痛是胸膜炎,通常在月经开始前几天开始,并持续整个月经周期,只有在月经出血停止后才会减轻。咳嗽无效果,阵发性常加重,胸痛加重。月经出血结束后就消失了。呼吸困难最初是在轻度至中度运动时,然后在休息时发展为偶尔呼吸困难。无骨科呼吸、阵发性夜间呼吸困难及足部肿胀史。多年来,她去了几家诊所,据说她的月经疼痛涉及到胸部。结论盆腔外子宫内膜异位症的诊断是具有挑战性和延迟的,因为它以无数的方式呈现,在某些情况下,可能很难将症状与月经周期联系起来。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Thoracic Endometriosis: A Presentation of an Uncommon Disease in a Black African Woman
Introduction Endometriosis is defined as a chronic gynecologic disease which is characterized by the presence of endometrial glands and stroma in anatomical sites and organs outside the uterine cavity. The exact prevalence of endometriosis is difficult to determine because many women remain asymptomatic. However, endometriosis affects about 10% to 15% of women. Thoracic endometriosis (TES) is the most common endometriosis outside the abdominopelvic cavity. It refers to endometriosis within the thoracic cavity including the lung parenchyma, diaphragm, and pleural surfaces. It can manifest as catamenial chest pain, pneumothorax, hemoptysis, hemothorax, catamenial haemoptysis, and pulmonary nodules. Case Summary. A 39-years-old married female presented with recurrent right-sided chest pain of 22 years duration, recurrent cough of more than 20 years and progressive breathlessness of a month duration. The chest pain is pleuritic, and it often starts few days to the onset of her menses and lasts throughout menstrual flow only to abate after the stoppage of menstrual bleeding. Cough was unproductive, paroxysmal often worse with worsening chest pain. It disappears after the end of menstrual bleed. Breathlessness was initially on mild to moderate exertion before progressing to occasional breathlessness at rest. No history of orthopnea, paroxysmal nocturnal dyspnea, and pedal swelling was found. Over the years, she had presented to several clinics where she was said to have menstrual pain referred to the chest. Conclusion Diagnosis of extrapelvic endometriosis can be challenging and delayed because it presents in a myriad of ways and in some cases, it may be difficult to link symptoms and the menstrual cycle.
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来源期刊
Case Reports in Medicine
Case Reports in Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
1.70
自引率
0.00%
发文量
53
审稿时长
13 weeks
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