A Case of Thoracic Endometriosis Syndrome Presenting with Recurrent Catamenial Pneumothorax

The American Journal of Case Reports
Shoaib Z JunejoSandeep Singh Tuli

Abstract

BACKGROUND Catamenial pneumothorax (CP) is a spontaneous pneumothorax commonly associated with menstrual periods. Endometrial tissues most commonly involve the pelvic region. However, after the pelvis, the lungs are most frequently involved. Thoracic endometriosis should always be suspected in young women presenting with CP. CASE REPORT A 30-year-old woman with history of endometriosis presented with chief complaint of umbilical pain. A computerized tomography (CT) scan of the abdomen and pelvis was performed, which showed an incidental finding of a large right-sided pneumothorax. Chest X-ray imaging showed 50% pneumothorax. A right-sided chest tube was placed, and after the procedure, a chest X-ray image showed expansion of the right lung. The patient was readmitted for elective resection of an umbilical mass and was again incidentally found to have a recurrent pneumothorax on the right side. She underwent videothoracoscopic pleurodesis with pathology, establishing the diagnosis of catamenial pneumothorax. CONCLUSIONS Thoracic endometriosis resulting in catamenial pneumothorax should be suspected in young women of child-bearing age. Treatment options still under debate include endoscopic resection and videothoracoscopic pleuro...Continue Reading

Citations

Feb 5, 2021·Current Medical Research and Opinion·Yi DaiJin-Hua Leng
Jan 23, 2021·Cells·Ezekiel MechaLutz Konrad
Aug 11, 2021·Journal of Minimally Invasive Gynecology·Nura Fitnat Topbas SelcukiEngin Oral

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