Features of Diagnosis and Treatment of Endometriosis-Associated Pneumothorax (Clinical Case)

Abstract

We describe a clinical case of diagnosis and treatment of a patient of reproductive age with endometriosisassociated pneumothorax. The presented clinical case is quite rare and draws attention to the importance of creating clinical guidelines for the management of patients with endometriosis-associated pneumothorax, since in the described clinical case the diagnosis was not immediately established, which led to complications, and therefore the chosen treatment tactics were not effective enough, which led to relapse. In this case, a protocol for the treatment of patients with bullous emphysema was initially chosen, but in such cases it is necessary to establish other causes of these conditions, in particular, the diagnosis of extragenital endometriosis in order to verify/refute such pathology. As a result of the surgical treatment, the pneumothorax was eliminated, and the quality of life improved, but periodic deterioration and relapses have occurred. Therefore, it indicates the need for an integrated approach to the diagnosis of pneumothorax with the establishment of its etiology, and in case of presence of extragenital endometriosis, the inclusion of a treatment protocol for this disease in the general treatment tactics. The clinical case confirms that in order to choose the most effective type of treatment, a multidisciplinary approach to the diagnosis and treatment of such disease is necessary with the involvement of a wide range of specialists: thoracic surgeons, gynecologists, endocrinologists, pathologists. An important component of an integrated approach to the treatment of such patients is the need for further monitoring of the efficacy of endometriosis treatment, timely diagnosis of its possible spread or complications, as well as monitoring and preservation of the patient's reproductive function.