Catamenial pneumothorax revisited: Clinical approach and systematic review of the literature

Korom, Stephan; Canyurt, Haydar; Missbach, Antje; Schneiter, Didier; Kurrer, Michael; Haller, U.; Keller, Paul J.; Furrer, Markus; Weder, Walter

doi:10.1016/j.jtcvs.2004.04.039

Cited by 173 publications

(72 citation statements)

References 64 publications

(31 reference statements)

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“…It implies a preferable flow direction from the pelvis to the right subdiaphragmatic area through the right paracolic gutter5. During the process of the flow, endometrial tissue could enter into the thorax through either congenital or acquired diaphragmatic defects5,6. However, these theories cannot explain the occurrence of intrapulmonary endometriosis.…”

Section: Discussionmentioning

confidence: 99%

A Case of Catamenial Hemoptysis Treated by Bronchial Artery Embolization

et al. 2014

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Catamenial hemoptysis is a rare condition, characterized by recurrent hemoptysis associated with the presence of intrapulmonary or endobronchial endometrial tissue. Therapeutic strategies proposed for intrapulmonary endometriosis with catamenial hemoptysis consist of medical treatments and surgery. Bronchial artery embolization is a well-established modality in the management of massive or recurrent hemoptysis, but has seldom been used for the treatment of catamenial hemoptysis. We report a case of catamenial hemoptysis associated with pulmonary parenchymal endometriosis, which was successfully treated by a bronchial artery embolization.

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Section: Discussionmentioning

confidence: 99%

A Case of Catamenial Hemoptysis Treated by Bronchial Artery Embolization

et al. 2014

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“…One hundred fifty-four (79%) were treated surgically, with detailed pathologic findings reported for 140 (91%), and 54 (38.8%) showed diaphragmatic lesions. Pleurodesis, with or without diaphragmatic repair or wedge resection, was performed in 82% of the cases [39]. …”

Section: Treatmentmentioning

confidence: 99%

Thoracic Endometriosis Syndrome

Augoulea

Lambrinoudaki²,

Christodoulakos³

2007

Respiration

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Endometriosis is defined as the presence of endometrial glands and stroma outside the uterine cavity and is usually confined to the pelvis. Thoracic endometriosis syndrome (TES) is a rare disorder characterized by the presence of functioning endometrial tissue in the pleura, the lung parenchyma and the airways. TES may present with hemoptysis, due to the shedding of endometrial tissue in the bronchial tree, or spontaneous pneumothorax or hemothorax if the endometrial tissue is localized peripherally. Patients are of reproductive age, often nulliparous, with long-standing symptoms. The crucial issue for establishing the diagnosis is the cyclicity of the symptoms which occur along with the menstrual cycle. TES is virtually a diagnosis of exclusion, established on clinical grounds, since neither CT nor endoscopy are specific for TES. Treatment consists of gonadotropin-releasing hormone analogues, aiming to suppress the hypophyseal-gonadal axis, so as to ensure a regression of the endometrial implants. If medical treatment fails, surgical resection of the endometriomas is suggested, although relapse rate may be high.

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“…Despite the fact that there are small peritoneal stomata, which allow the trespassing of particles below 30 Îm, to enter the diaphragmatic lacunae, a defect of the anatomical continuity of the diaphragm must also exist in order to allow air to pass and cause pneumothorax [70]. …”

Section: Introductionmentioning

confidence: 99%

Extrapelvic endometriosis: a rare entity or an under diagnosed condition?

Machairiotis

Stylianaki

Dryllis³

et al. 2013

Diagn Pathol

146

105

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Endometriosis is a clinical entity characterized by the presence of normal endometrial mucosa abnormally implanted in locations other than the uterine cavity. Endometriosis can be either endopelvic or extrapelvicdepending on the location of endometrial tissue implantation. Despite the rarity of extrapelvic endometriosis, several cases of endometriosis of the gastrointestinal tract, the urinarytract, the upper and lower respiratory system, the diaphragm, the pleura and the pericardium, as well as abdominal scars loci have been reported in the literature. There are several theories about the pathogenesis and the pathophysiology of endometriosis. Depending on the place of endometrial tissue implantation, endometriosis can be expressed with a wide variety of symptoms. The diagnosis of this entity is neither easy nor routine. Many diagnostic methods clinical and laboratory have been used, but none of them is the golden standard. The multipotent localization of endometriosis in combination with the wide range of its clinical expression should raise the clinical suspicion in every woman with periodic symptoms of extrapelvic organs. Finally, the therapeutic approach of this clinical entity is also correlated with the bulk of endometriosis and the locum that it is found. It varies from simple observation, to surgical treatment and treatment with medication as well as a combination of those.Virtual slidesThe virtual slide(s) for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/1968087883113362.

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Catamenial pneumothorax revisited: Clinical approach and systematic review of the literature

Cited by 173 publications

References 64 publications

A Case of Catamenial Hemoptysis Treated by Bronchial Artery Embolization

A Case of Catamenial Hemoptysis Treated by Bronchial Artery Embolization

Thoracic Endometriosis Syndrome

Extrapelvic endometriosis: a rare entity or an under diagnosed condition?

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