| Abstract [eng] |
Spontaneous pneumothorax is one of the most common thoracic diseases, characterized by air collecting in between visceral and parietal pleura [1, 2]. The air in the pleural cavity gets in the way of the lung expanding properly during inhale, for that reason a patient with spontaneous pneumothorax experiences dyspnea and chest pain. Spontaneous pneumothorax can be primary - not caused by known pulmonary disease, or secondary - caused by known pulmonary disease or systemic disease with pulmonary involvement [1]. It is most common for young men, however some women of childbearing age may experience it too. Sometimes the causes of spontaneous pneumothorax in women are gynecological, typically endometriosis, catamenial pneumothorax, catamenial hemothorax or Meigs syndrome. We describe a case of a 43-year-old female patient, who presented to the emergency department with dyspnea and chest pain, caused by recurrent spontaneous pneumothorax. After operating on the patient and analyzing histopathologically the material from patient’s pleural cavity, it was found to be endosalpingiosis lesions to be the cause of spontaneous pneumothorax. Endosalpingiosis lesions are benign and rare findings, made of ectopic cystic glands lined with fallopian tube type ciliated epithelium that express similar biomarkers to those of fallopian tube tissue [3]. They are commonly found on the surface of female pelvic organs, however they can be found on peritoneum, lymph nodes, skin and more. In pursuit of finding out more about the causes of gynecological spontaneous pneumothorax and endosalpingiosis we reviewed medical literature, accessible by medical literature bases online. |
