ARDS is a life-threatening condition that requires monitoring in intensive care units. There is no specific treatment. We present a 49 year-old female patient with ARDS and its complications, ventilation assisted pneumonia (VAP) andbilateral pneumothorax. Good knowledge of the process can help to choose the appropriate treatment and to prevent or to recognize possible complications. Adequate oxygen therapy takes important place in treatment of these patients.
Introduction. Catamenial pneumothorax represents spontaneous pneumothorax occuring during the period of 72-96h before and after menstrual bleeding. It is frequently associated with thoracic endometriosis. However, certain cases are not associated with any identifiable thoracic pathology. Case report. A 42-year-old woman with a history of pelvic endometriosis presented with sudden cough and shortness of breath on the first day of menstrual bleeding. A chest x-ray revealed a complete right pneumothorax. Prior to this, she underwent 7 failed in vitro fertilization attempts. Video-assisted thoracoscopic surgery showed pulmonary bullous lesions, as well as a diaphragmatic fenestration. An atypical resection of the pulmonary apex was performed with an endostapler. Also, diaphragm plication was performed with Ethibond sutures. The definitive histopathological examination of the pulmonary tissue was negative for endometriosis. A postoperative course of GnRH agonist triptorelin was administered during the period of 6 months. The patient's postoperative recovery was uneventful, without a recurrence of pneumothorax to this day. Conclusions. There is a possibility that the ovarian hyperstimulation caused the rupture of the pulmonary bullae. It is also plausible that this patient had endometriotic diaphragmatic fenestrations activated by ovarian hyperstimulation, leading to their rupture and pneumothorax. Early diagnosis and timely surgical treatment dealing with all thoracic pathology, as well as adjuvant hormonal treatment, may reduce the recurrence rate of catamenial pneumothorax. Abstrakt Uvod. Katamenijalni pneumotoraks označava spontani pneumotoraks nastao u periodu od 72-96h pre ili nakon menstrualnog krvarenja. Često je povezan sa torakalnom endometriozom. MeĎutim, u pojedinim slučajevima nije identifikovana torakalna patologija. Prikaz bolesnika. Pacijentkinja starosti 42 godine sa prethodnom pelvičnom endometriozom javila se zbog naglog kašlja i osećaja nedostatka vazduha prvog dana 4 menstrualnog ciklusa. Rendgenski snimak grudnog koša je prikazao kompletni desnostrani pneumotoraks. Pre ovog dogaĎaja, pacijentkinja je prošla 7 neuspešnih ciklusa vantelesne oplodnje. Video-asistirana torakoskopija je pokazala bulozne lezije pluća i fenestraciju dijafragme. Učinjena je atipična resekcija plućnog vrha endostaplerom, kao i plikacija dijafragme Ethibond šavovima. Definitivni histopatološki pregled tkiva nije dokazao endometriozu. Postoperativno je administriran GnRH agonist triptorelin u toku 6 meseci. Postoperativni tok je bio uredan bez recidiva pneumotoraksa. Zaključak. Postoji mogućnost da je ovarijalna hiperstimulacija izazvala rupturu plućnih bula. TakoĎe, moguće je da je pacijentkinja imala endometriotične fenestracije dijafragme aktivirane ovarijalnom hiperstimulacijom, što je dovelo do pneumotoraksa. Rana dijagnoza i pravovremeni hirurški tretman, kao i adjuvantna hormonska terapija, mogu smanjiti stopu recidiva katamenijalnog pneumotoraksa.
Mycoplasma pneumonia is common agent causing community acquired pneumonia in younger population. However, the course of illness is usually benign and is rarely associated with pulmonary complications. We report a 27 years old female patient with unilateral pneumonia followed by pleural effusion and adhesions on the same side. This potential source of infection should be considered in young patients where resolution of symptoms from pneumonia is delayed.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.