Catamenial Pneumothorax with Umbilical and Diaphragmatic Endometriosis: A Case Report and Review of the Literature

Arunthari, Vichaya; Sevin, Bernd Uwe; Krishna, Murli; Johnson, Margaret M.

doi:10.1097/smj.0b013e31817bf9e1

Cited by 10 publications

(7 citation statements)

References 18 publications

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“…Multiple theories have been postulated to describe the etiopathogenesis. The theory of coelomic metaplasia, prostaglandin theory, theory of retrograde menstruation, passage of air through the diaphragm, and lymphatic/vascular microembolization are some of the few widely accepted hypothesis [ 1 , 3 , 6 ]. Pathogenesis may be multifactorial, as described by Bricelj K et al In this study, endometrial implants were seen on video-assisted thoracoscopic surgery (VATS) in 59.3% of all patients diagnosed with CP, whereas diaphragmatic defects ranging 1 mm to 10 mm were reported in 57.0% of patients [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

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Left-sided Catamenial Pneumothorax: A Rare Clinical Entity

Narula¹,

Ngu²,

Avula³

et al. 2018

Cureus

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Catamenial pneumothorax (CP) is an extremely rare pulmonary pathology seen in women of reproductive age, typically occurring within 72 hours from the onset of menstrual bleeding. Multiple theories have been proposed to explain the etiopathogenesis of CP; however, the exact underlying mechanism remains elusive. More than 90% of reported cases in the literature describe a right-sided presentation of pneumothorax. In this case report, we describe a rare left-sided presentation of CP and discuss the current literature on underlying etiopathogenesis, diagnostics, and available therapeutic modalities for managing this rare clinical entity.

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Section: Discussionmentioning

confidence: 99%

“…The surgical options include hysterectomy with bilateral salpingo-oophorectomy. Surgery is considered a definitive treatment and is usually reserved for severe refractory cases [ 6 ]. VATS-assisted resection of ectopic endometrial implants and the repair of diaphragmatic and pleural defects can theoretically lead to disease resolution.…”

Section: Discussionmentioning

confidence: 99%

Left-sided Catamenial Pneumothorax: A Rare Clinical Entity

Narula¹,

Ngu²,

Avula³

et al. 2018

Cureus

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“…Umbilical endometriosis is a very rare disease; only 276 cases have been reported 1–22 . Most patients with this condition present with cyclic pain and bleeding at the site of an umbilical cutaneous nodule correlating with menses; however, its pathogenesis is not clear.…”

Section: Introductionmentioning

confidence: 99%

Clear cell adenocarcinoma arising from umbilical endometriosis

Obata

Ikoma

Oomura

et al. 2012

J of Obstet and Gynaecol

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Umbilical endometriosis is a very rare condition, and as far as we are aware, there have been no reported cases of its malignant transformation. Here, we report a case of clear cell adenocarcinoma arising from umbilical endometriosis in a 60-year-old woman who underwent hysterectomy for a uterine myoma at the age of 38, and who denied cyclic bleeding at the site of an umbilical cutaneous nodule correlating with menses until the age of 48. An umbilical tumor (3 cm diameter) was identified by magnetic resonance imaging and an abnormal accumulation was found only at the umbilical lesion by positron emission tomography examination. We observed endometriosis adjacent to the clear cell adenocarcinoma and transformation to carcinoma from endometriosis at the umbilical lesion histopathologically. Clear cell adenocarcinoma of the umbilicus was thought to have arisen from endometriosis; it expressed HER-2 protein and showed strong mesothelial characteristics immunohistochemically.

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“…Only approximately 200 primary cases of these tumors have been reported. 2 By contrast, secondary diaphragmatic tumors are more frequent than primary diaphragmatic tumors, 1 such as benign endometriosis, 7 malignant mesothelioma, 8 lung cancer, 9 and ovarian cancer. 10 Moreover, secondary diaphragmatic tumors are often accompanied by metastases to other locations, such as the lungs, liver, and thoracic cavity.…”

Section: Discussionmentioning

confidence: 99%

Right diaphragm metastasis of endometrial cancer: a case report

et al. 2020

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A diaphragmatic tumor is usually caused by metastasis from lung cancer, malignant mesothelioma, and malignant thymoma. Endometrial cancer is rarely involved in metastasis to the diaphragm. A right anterior mediastinal tumor was found in a 60-year-old woman who was initially diagnosed with endometrial carcinoma. There was initially no relationship between the right anterior mediastinal tumor and endometrial carcinoma. Radical curative surgery was performed for endometrial carcinoma. The endometrial carcinoma stage was IA. The patient was admitted to the Department of Thoracic Surgery 6 months after the curative surgery. Intraoperative exploration showed a tumor growing in the right diaphragm. Right diaphragmotomy was performed. Immunohistochemistry showed metastasis of endometrial carcinoma to the diaphragm. Endometrial cancer solitary metastasis to the diaphragm is rare. Clinicians should be aware of this possibility. Surgical treatment followed by a pathological examination is the most useful method for determining the diagnosis of a diaphragmatic tumor due to metastasis of endometrial cancer.

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Catamenial Pneumothorax with Umbilical and Diaphragmatic Endometriosis: A Case Report and Review of the Literature

Cited by 10 publications

References 18 publications

Left-sided Catamenial Pneumothorax: A Rare Clinical Entity

Left-sided Catamenial Pneumothorax: A Rare Clinical Entity

Clear cell adenocarcinoma arising from umbilical endometriosis

Right diaphragm metastasis of endometrial cancer: a case report

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