Catamenial pneumothorax in a pregnant patient

Yoshioka, Hide; Fukui, Takayuki; Mori, Shouichi; Usami, Noriyasu; Nagasaka, Tetsuro; Yokoi, Kohei

doi:10.1007/s11748-005-0042-6

Cited by 23 publications

(12 citation statements)

References 6 publications

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“…Catamenial pneumothorax accounts for 72% of TES 11 . Its pathophysiology is hypothesized to be a combination of 3 theories: Seeding of endometrial stromal tissue in the diaphragm following dissolving cervical mucus and retrograde air flow during menstruation; Transvascular dissemination of endometrial tissue into the lung with cycling sloughing causing hyperinflation; Increased prostaglandin F2 production from the endometrium causes alveolar constriction and destruction resulting in pneumothorax 12,13 . The mean age at time of diagnosis is 35±7 years old 10 .…”

Section: Discussionmentioning

confidence: 99%

“…The mean age at time of diagnosis is 35±7 years old 10 . It is commonly right-sided, however, there has been previous occurrence on the left or bilateral chest 12,14,15,16,17 . The diagnosis of catamenial pneumothorax can be a clinical, radiological, surgical or histological 14,15 .…”

Section: Discussionmentioning

confidence: 99%

“…The diagnosis of catamenial pneumothorax can be a clinical, radiological, surgical or histological 14,15 . Most patients present with chest pain and dyspnoea 10,12,16,18 . The authors propose eliciting the clinical quartet of chest pain, dyspnoea, menstruation onset and a past history of endometriosis.…”

Section: Discussionmentioning

confidence: 99%

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Case report: catamenial pneumothorax

Lee

Syed

Kumar

2019

ijmsci

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Primary spontaneous pneumothorax is defined as the presence of air in the pleural space with no precipitating cause and is four times less likely to occur in women than in men1,2. Common causes for spontaneous pneumothorax in females include: interstitial pneumonia, primary lung cancer and lung metastasis, and asthma3. An uncommon cause for secondary spontaneous pneumothorax is catamenial pneumothorax, which is associated with thoracic endometriosis. The word “catamenial” is derived from the greek word “katamenios” meaning monthly recurrence.4 Catamenial pneumothorax refers to recurrent spontaneous pneumothorax during menstruation in the absence of concomitant respiratory disease5.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Case report: catamenial pneumothorax

Lee

Syed

Kumar

2019

ijmsci

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“…It is well acknowledged that thoracic endometriosis syndrome normally occurs in women between the ages of 25 and 35 years [1] . Nevertheless, though rarely, some cases of catamenial pneumothorax have been described despite estro-progestinic therapy [4] or during pregnancy [5] .…”

Section: Discussionmentioning

confidence: 99%

Catamenial Pneumothorax: A Challenging Diagnosis

Colaut¹,

Clemente²,

Luca³

et al. 2017

Journal of Respiratory Research

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Catamenial pneumothorax is the most frequent manifestation of thoracic endometriosis. Diagnosis should be suspected if a spontaneous pneumothorax occurs within 72 hours from the onset of menstrual bleeding. Furthermore diagnosis can be supported by the macroscopic findings within the pleural cavity, generally represented by multiple nodules with color ranging from brown to violet and of variable dimension (from several micrometers to 1 cm); confirmation comes from histologic examination of the resected specimens (endometrial glands surrounded by a decidual-like stroma). Increased levels of CA 125 and CA 19-9 are useful clues. On the other hand, diagnosis of catamenial pneumothorax can be challenging in atypical cases presenting with none of the above mentioned features. We report a similar case in which no proof of endometriosis was found neither at intraoperative examination of the affected hemithorax, nor at gynecological evaluation; moreover laboratory parameters and CA 125 and CA 19-9 in particular were within normal values. Eventually, diagnosis of catamenial pneumothorax was formulated only when a temporal connection with menstrual bleeding was noticedand when, on the ex juvantibus principle, implementation of a specific medical treatment was able to prevent further recurrences of the disease. A gonadotropin releasing hormone (GnRH) analogue therapy was establishedand since then, after a two years follow-up, pneumothorax had never recurred. In conclusion, diagnosis of catamenial pneumothorax could be established on clinical grounds only.

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“…Large pneumothorax (more than 20%) should be treated with tube thoracostomy [13]. Other treatment options are needle aspiration, needle decompression, pleurodesis,thoracotomy and thoracoscopyforrecurrent,persistent or bilateral pneumothorax [7]…”

Section: Discussionmentioning

confidence: 99%

Dilatation And Curettage (D&C) In A Patient With Spontaneous Pneumothorax

Ninan¹

2013

IOSR-JDMS

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A 19year old primigravida with 12 weeks gestation was admitted in our hospital with bleeding per vagina (PV). She also complained of dyspnea, fatigue, chest pain. Her x-ray chest PA view showed evidence of pneumothorax. Emergency Inter costal drainage (ICD) was placed.. After 24 hours she was posted for dilatation and curettage. General Anaesthesia was administered using injection1 mg butorphanol , 100 mg propofol and 20 mg atracurium. Airway was secured with size 3 laryngeal mask airway (LMA). At the end of the procedure patient was reversed with neostigmine and glycopyrolate and shifted to MICU without any complication

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Catamenial pneumothorax in a pregnant patient

Cited by 23 publications

References 6 publications

Case report: catamenial pneumothorax

Case report: catamenial pneumothorax

Catamenial Pneumothorax: A Challenging Diagnosis

Dilatation And Curettage (D&C) In A Patient With Spontaneous Pneumothorax

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