Catamenial pneumothorax caused by diaphragmatic endometriosis

Blanco, Susana; Trancho, Florentino Hernando; Gómez, Ana María; Gonzalez, Maximiliano Jorge; Torres, Abel; Balibrea, J.L.

doi:10.1016/s0022-5223(98)70264-8

Cited by 51 publications

(28 citation statements)

References 5 publications

(10 reference statements)

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“…Magnetic resonance imaging is frequently employed in patients whose medical history is suspicious for catamenial pneumothorax. [3][4][5][6] The endometrial implants can be single or multiple, and are usually found on the diaphragm. The diaphragmatic defects can be single or multiple, and are mainly located at the tendinous part of the diaphragm.…”

Section: Discussionmentioning

confidence: 99%

“…Today, video-assisted thoracoscopic surgery has an important role in the diagnosis and treatment of catamenial pneumothorax, but surgical techniques differ, and include resection of the diaphragm or plication of the fenestrations identified during thoracoscopy, placement of mesh over the fenestrations, repair with surgical adhesive (eg, BioGlue), removal of the endometrial foci, and pleurodesis. [3][4][5][6]9 The postoperative recurrence rate is 30 -40%. To prevent recurrence, diaphragmatic defects should certainly be closed, when necessary the diaphragm should be excised, and pleurodesis or pleurectomy should be included.…”

Section: Discussionmentioning

confidence: 99%

“…2 The reported incidence of catamenial pneumothorax among the spontaneous pneumothoraces is 3-6%, but the actual incidence is 25-30%, because catamenial pneumothorax is under-diagnosed. 1,[3][4][5][6] Although catamenial pneumothorax is clinically similar to the other primary spontaneous pneumothoraces, it is distinguished by being observed in women of reproductive age and by recurrence in menstrual periods.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Recurrent Catamenial Pneumothorax Caused by Diaphragmatic Fenestration

Çelik¹,

Gürz²,

Pirzirenli³

et al. 2013

Respir Care

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Recurrent Catamenial Pneumothorax Caused by Diaphragmatic Fenestration

Çelik¹,

Gürz²,

Pirzirenli³

et al. 2013

Respir Care

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“…Since the initial report of catamenial pneumothorax by Maurer et al [3], more than 100 cases have been described in the literature [2]. The diagnosis of catamenial pneumothorax is easily overlooked because of a possible lack of systemic history taking on the relationship between recurrent pneumothoraces and menstruation.…”

Section: Discussionmentioning

confidence: 99%

“…Likewise, management still remains controversial. Catamenial pneumothorax has been managed with various treatment modalities ranging from thoracotomy with pleurodesis to ovulatory suppressant agents such as oral contraceptives, progesterone or gonadotropin-releasing hormone analogues [1, 2]. …”

Section: Introductionmentioning

confidence: 99%

Nonsurgical Treatment of a Catamenial Pneumothorax with a Gn-RH Analogue

Akal

Kara²

2002

Respiration

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Catamenial pneumothorax is a rarely encountered entity characterized by recurrent pneumothorax concurrent with menstruation. Numerous mechanisms have been postulated in the etiology of catamenial pneumothorax and treatment is still controversial. We report a case of a catamenial pneumothorax successfully treated with a Gn-RH analogue supporting the efficacy of this regimen and the endometriosis theory as an underlying cause of the disease.

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Unsuspected lung cancer accompanied by catamenial pneumothorax

Iwasaki

Matsumura

Yamamoto

et al. 2000

Jpn J Thorac Caridovasc Surg

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A 45-year-old nonsmoking woman with repeated coughing and dyspnea on effort was admitted to our hospital diagnosed with right-sided pneumothorax on chest X-ray. Chest computed tomography showed neither bullae nor nodules. Chest drainage failed to completely reexpand the lung, necessitating video-assisted thoracic surgery. Thoracoscopy showed pleural thickening in the apical segment without bullae or air leakage, dark-brown pigmentation of the diaphragm, and an unsuspected small nodule about 5 mm in diameter on the diaphragmatic surface of the right lower lobe. Pneumothorax was treated by mechanical abrasion of parietal pleura and upper lobe wedge resection. The lower lobe and nodule were wedge-resected using staplers. The nodule was bronchioloalveolar carcinoma of Noguchi's type B. To improve curability and check for diaphragmatic lesions, right posterolateral thoracotomy was conducted on post-video-assisted thoracic surgery day 28. Aggressive intraoperative lymph node exploration yielded no remarkable histological findings. Nonanatomical lower lobe wedge resection was done and the diaphragm with pinhole-like perforations was partially resected. The resected lung showed no cancerous tissue. Endometrial tissue was histologically confirmed in the resected diaphragm. The patient has remained asymptomatic in 14-month follow-up. This is, to our knowledge, the first lung cancer accompanied by catamenial pneumothorax.

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Catamenial pneumothorax caused by diaphragmatic endometriosis

Cited by 51 publications

References 5 publications

Recurrent Catamenial Pneumothorax Caused by Diaphragmatic Fenestration

Recurrent Catamenial Pneumothorax Caused by Diaphragmatic Fenestration

Nonsurgical Treatment of a Catamenial Pneumothorax with a Gn-RH Analogue

Unsuspected lung cancer accompanied by catamenial pneumothorax

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