Anesthetic evaluation and management of a patient with thoracic endometriosis syndrome presenting for elective surgery

作者：Webb Christopher A J; Weber Garret M; Raker Richard K^*

来源：Journal of Clinical Anesthesia, 2013, 25(3): 220-223.

DOI：10.1016/j.jclinane.2012.10.011

• Catamenial pneumothorax
• Endometriosis
• Pneumothorax
• Thoracic endometriosis
• Thoracic endometriosis syndrome

Thoracic endometriosis syndrome is a relatively uncommon disorder characterized by recurrent pneumothoraces, hemothorax, chest pain, dyspnea, and hemoptysis within 48 to 72 hours of menstruation. A 34 year old, ASA physical status 2 woman with recurrent catamenial pneumothoraces due to thoracic endometriosis syndrome is presented. After treatment with video-assisted thoracoscopic surgery, she underwent successful elective diagnostic abdominal laparoscopy without incident. The presence of parenchymal injury and damage predisposes these patients to ventilator-induced lung injury. Postponement of surgery until the intermenstrual period, with lung protective ventilation, allows patients with this disease to successfully undergo general anesthesia and surgery.

• 出版日期2013-5