ABSTRACT
OBJECTIVE: To report our therapeutic approach toward catamenial hemothorax. PATIENTS AND METHODS: This retrospective study from January 1994 to November 2018 concerned patients operated under general anesthesia for catamenial hemothorax. A posterolateral thoracotomy approach was implemented either directly or after primary videothoracoscopy. Six-month hormone therapy was systematically prescribed postoperatively. The result was assessed in terms of occurrence or non-occurrence of hemothorax upon resumption of menses after discontinuation of hormone therapy. RESULTS: Eleven patients were selected, with an average age was 32years (25-41). Catamenial hemothorax was associated with hemorrhagic ascites in 5 cases. Endometriotic plaques in the form of diaphragmatic fenestrations were found nine times and were resected (1 case) or covered by a synthetic non-absorbable patch (8 cases). Pleural symphysis completed the surgical procedures. The one hormone used was triptorelin. Mortality was zero. Mean postoperative hospital stay was 10.24days and mean follow-up was 3.5years. One patient was lost to follow-up at 3months. One hemothorax recurrence was observed after discontinuation of hormone therapy at 4months [1], and repeated pleural punctures were carried out while awaiting revision surgery. The five cases of ascites recurred and the patients were monitored in the gynecology unit. CONCLUSION: In patients suffering from catamenial hemothorax with diaphragmatic fenestrations, we recommend phrenoplasty using synthetic patches associated with pleural talcage and 6-month complementary concomitant hormone therapy.
Subject(s)
Hemothorax , Pneumothorax , Adult , Ascites/complications , Female , Hemothorax/complications , Hemothorax/surgery , Hormones , Humans , Pneumothorax/therapy , Recurrence , Retrospective StudiesABSTRACT
Pneumothorax is a rare clinical manifestation of lung cancer. It can exceptionally reveal a bronchial carcinoid tumor. We present the case of a 27-year-old woman in whom recurrent pneumothoraxes were the clinical manifestation of a bronchial carcinoid tumor. The interest for chest computed tomography and bronchoscopy to identify etiology of secondary pneumothoraxes will be discussed.
Subject(s)
Bronchial Neoplasms/diagnosis , Carcinoid Tumor/diagnosis , Pneumothorax/diagnosis , Adult , Bronchial Neoplasms/complications , Bronchial Neoplasms/surgery , Bronchoscopy , Carcinoid Tumor/complications , Carcinoid Tumor/surgery , Diagnosis, Differential , Female , Humans , Pneumonectomy , Pneumothorax/etiology , Pneumothorax/surgery , Recurrence , Tomography, X-Ray ComputedABSTRACT
The authors relate a case of cutaneous cover of the ankle and the right foot on a leg with precarious vascularization by the inner flap of the thigh with a serious burnt person the left leg amputated. The flap, which has been autonomized first before being set apart, got a well development and allowed to cover the ankle and the foot. It is a flap which deserve to be used and can count among the cover means of the ankle and the foot and even to constitute an alternative to the use of classical flaps (sural and supramalleolar flaps) in case of vascular risk.
