{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T02:44:52Z","timestamp":1792032292538,"version":"4.4.0"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:00:00Z","timestamp":1792022400000},"content-version":"vor","delay-in-days":14,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Thoracic endometriosis syndrome (TES) is the leading cause of catamenial pneumothorax but is rarely considered during pregnancy because ovulation and menstruation are physiologically suppressed. Consequently, persistent pneumothorax in pregnancy is commonly attributed to primary spontaneous pneumothorax, potentially delaying definitive diagnosis and treatment. We report a 31-year-old primigravida at 27\u00a0weeks\u2019 gestation who presented with persistent right-sided pneumothorax despite tube thoracostomy. She had a history of recurrent spontaneous pneumothorax and pelvic endometriosis. Following multidisciplinary evaluation, the patient underwent video-assisted thoracoscopic surgery with wedge resection of the right middle lobe and partial diaphragmatic resection with primary repair. Histopathological examination demonstrated endometrial glands and stroma involving the pulmonary parenchyma, pulmonary bulla, and diaphragm, with positive estrogen receptor and CD10 immunostaining, confirming TES. The postoperative course was uneventful, and the patient subsequently delivered a healthy 3.2-kg female infant at 40\u00a0weeks\u2019 gestation without maternal or neonatal complications. This case demonstrates that pregnancy does not exclude TES and highlights the importance of maintaining clinical suspicion in pregnant women with recurrent or persistent right-sided pneumothorax. Early multidisciplinary surgical management can safely achieve definitive diagnosis and treatment while optimizing both maternal and fetal outcomes.<\/jats:p>","DOI":"10.1093\/jscr\/rjag922","type":"journal-article","created":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T11:32:59Z","timestamp":1790508779000},"source":"Crossref","is-referenced-by-count":0,"title":["Persistent pneumothorax during pregnancy revealing histologically confirmed thoracic endometriosis"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9211-0853","authenticated-orcid":false,"given":"Beatrice Chia-Hui","family":"Shih","sequence":"first","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine , 211 Eonju-ro, Gangnam District, Seoul 06273,","place":["South Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Duk Hwan","family":"Moon","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine , 211 Eonju-ro, Gangnam District, Seoul 06273,","place":["South Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sungsoo","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine , 211 Eonju-ro, Gangnam District, Seoul 06273,","place":["South Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,10,14]]},"reference":[{"key":"2026101421590334200_ref1","doi-asserted-by":"publisher","first-page":"e2019.00029","DOI":"10.4293\/JSLS.2019.00029","article-title":"Thoracic endometriosis syndrome: a review of diagnosis and management","volume":"23","author":"Nezhat","year":"2019","journal-title":"JSLS"},{"key":"2026101421590334200_ref2","doi-asserted-by":"publisher","first-page":"373","DOI":"10.1016\/j.jmig.2019.10.004","article-title":"Extrapelvic endometriosis: a systematic review","volume":"27","author":"Andres","year":"2020","journal-title":"J Minim Invasive Gynecol"},{"key":"2026101421590334200_ref3","doi-asserted-by":"publisher","first-page":"7602","DOI":"10.3390\/jcm13247602","article-title":"Thoracic endometriosis syndrome: a comprehensive review and multidisciplinary approach to management","volume":"13","author":"Nezhat","year":"2024","journal-title":"J Clin Med"},{"key":"2026101421590334200_ref4","doi-asserted-by":"publisher","first-page":"1004","DOI":"10.1378\/chest.124.3.1004","article-title":"Catamenial pneumothorax: a prospective 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case","volume":"41","author":"Schoenfeld","year":"1986","journal-title":"Obstet Gynecol Surv"}],"container-title":["Journal of Surgical Case 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