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Thorac Cardiovasc Surg Rep 2014; 03(01): 058-060
DOI: 10.1055/s-0034-1383511
Case Report: Thoracic
Georg Thieme Verlag KG Stuttgart · New York

Spontaneous Pneumothorax due to Ectopic Deciduosis: A Case Report

Wojciech Dudek
1   Department of Thoracic Surgery, University Hospital of Erlangen, Erlangen, Germany
,
Waldemar Schreiner
1   Department of Thoracic Surgery, University Hospital of Erlangen, Erlangen, Germany
,
Johanna Strehl
2   Department of Pathology, University Hospital of Erlangen, Erlangen, Germany
,
Horia Sirbu
1   Department of Thoracic Surgery, University Hospital of Erlangen, Erlangen, Germany
› Author Affiliations
Further Information

Publication History

30 December 2013

11 April 2014

Publication Date:
16 September 2014 (online)

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Abstract

This report presents a 20-week pregnant 38-year-old woman with right-sided pneumothorax due to pulmonary deciduosis. Initial pleural drainage was ineffective. Video-assisted thoracoscopy revealed areas of consolidation within the lung parenchyma. A wedge resection with partial pleurectomy was performed. Histopathological examination showed subpleural decidual implants. The patient made a full recovery and was discharged on day 5. Videoscopic inspection of the lung parenchyma and pleura with resection of decidual foci is the recommended treatment for pneumothorax in pregnant women with pleuropulmonary deciduosis in whom classical pleural drainage is ineffective.

Keywords

pleuropulmonary ectopic deciduosis - spontaneous pneumothorax - thoracoscopic surgery
 

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