Visualization of diaphragmatic fenestration associated with catamenial pneumothorax

Cowl, Clayton T.; Dunn, William F.; Deschamps, Claude

doi:10.1016/s0003-4975(99)00735-3

Cited by 41 publications

(27 citation statements)

References 8 publications

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“…15 Finally, an anatomic model suggests a theory for pneumothorax in which air enters the thorax via the pelvis after loss of the cervical mucous plug during menses. 16 However, the precise mechanism has yet to be determined.…”

Section: Discussionmentioning

confidence: 99%

Multidisciplinary Treatment for Thoracic and Abdominopelvic Endometriosis

Nezhat

Main

Paka

et al. 2014

JSLS

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Background and Objectives:Thoracic endometriosis is a rare form of extragenital endometriosis with important clinical ramifications. Up to 80% of women with thoracic endometriosis have concomitant abdominopelvic endometriosis, yet the surgical treatment is usually performed with separate procedures. This is the largest published series of the combination of video-assisted thoracoscopic surgery and traditional laparoscopy for the treatment of abdominopelvic and thoracic endometriosis. The objectives of this series are to further evaluate the manifestations of thoracic endometriosis, assess the multidisciplinary surgical approach, and discuss our institution's protocols.Methods:This is a retrospective, institutional review board–approved case series of 25 consecutive women who underwent combined video-assisted thoracoscopic surgery and traditional laparoscopy for the treatment of abdominopelvic, diaphragmatic, and thoracic endometriosis from January 1, 2008, to September 30, 2013. All surgeries were performed at a tertiary referral center by the same primary surgeons. Data were collected by chart review.Results:Twenty-five patients were included, with a mean age of 37.7 years. Eighty percent of patients had catamenial chest pain, and in 40% this was their only chest complaint. Shoulder pain was noted in 40% of patients, catamenial pneumothorax in 24%, and hemoptysis in 12%. One hundred percent of patients were found to have endometriosis in the pelvis, 100% in the diaphragm, 64% in the chest wall, and 40% in the parenchyma. There were 2 major postoperative complications: 1 diaphragmatic hernia and 1 vaginal cuff hematoma.Conclusion:Clinical suspicion and preoperative assessment are crucial in the diagnosis of thoracic endometriosis and allow for a multidisciplinary approach. The combination of video-assisted thoracoscopic surgery and traditional laparoscopy for the treatment of endometriosis optimally addresses the pelvis, diaphragm, and thoracic cavity in a single operation.

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Section: Discussionmentioning

confidence: 99%

Multidisciplinary Treatment for Thoracic and Abdominopelvic Endometriosis

Nezhat

Main

Paka

et al. 2014

JSLS

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“…Symptoms of pelvic endometriosis have been observed in most patients. 1,4 Endometriosis is defined as the occurrence of endometrial tissue outside the uterus. The disease is usually observed in women of reproductive age, and causes pelvic pain and infertility.…”

Section: Discussionmentioning

confidence: 99%

“…1 Catamenial pneumothorax was first described by Maurer et al in 1958. 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.…”

Section: Introductionmentioning

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 1 more Smart Citation

Recurrent Catamenial Pneumothorax Caused by Diaphragmatic Fenestration

Çelik¹,

Gürz²,

Pirzirenli³

et al. 2013

Respir Care

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“…12 Finally, the anatomic model suggests that the loss of the cervical mucus plug during menses results in communication between the environment, peritoneal cavity, and subsequently the pleural space. 13 …”

Section: Discussionmentioning

confidence: 99%