Recurrent Catamenial Pneumothorax Caused by Diaphragmatic Fenestration

Çelik, Burçin; Gürz, Selçuk; Pirzirenli, Mehmet Gökhan; Kefeli, Mehmet

doi:10.4187/respcare.02496

Cited by 4 publications

(5 citation statements)

References 12 publications

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“…Postsurgical recurrence is reported to be, depending on the study, 8 to 40%. and may happen several years after the first episode [2,3,6].…”

Section: Discussionmentioning

confidence: 99%

“…Thoracic endometriosis (TE) is a clinical condition manifested clinically by catamenial pneumothorax, hemoptysis, catamenial hemothorax and pulmonary nodules [1][2][3].…”

Section: Introdutionmentioning

confidence: 99%

“…The most common clinical presentation of TE is catamenial pneumothorax [1,2,[4][5][6][7]. However, it is also known that absence of TE can occur, associated with diaphragmatic defects [8].…”

Section: Introdutionmentioning

confidence: 99%

“…It is characterized by recurrent pneumothoraces, in perimenstrual period, usually occurring within 72 hours before or after onset of menstruation [1,8,10], mostly in the right hemithorax [1,4,6,8,10]. It corresponds to 3-6% of cases of recurrent spontaneous pneumothorax and a third of all cases of spontaneous pneumothorax in women at reprodutive age [1,2,4].…”

Section: Introdutionmentioning

confidence: 99%

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Catamenial Pneumothorax

Marina Gabriela

2023

Int J Respir Pulm Med

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Catamenial pneumothorax is the most common form of thoracic endometriosis syndrome. It is a form of spontaneous recurrent pneumothorax, occurring mostly in women of reproductive age, typically within 72h from the onset of menstruation. Although aetiology is unknown, several hypothesis have been raised trying to explain the pathogenesis behind it. We present two cases of women in reproductive age, with episodes of recurrent right pneumothorax. In surgery were visualized diaphragmatic defects compatible with the diagnosis of catamenial pneumothorax. After surgical correction and hormonal treatment,they are asymptomatic and without new episodes of pneumothorax.

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“…Postsurgical recurrence is reported to be, depending on the study, 8 to 40%. and may happen several years after the first episode [2,3,6].…”

Section: Discussionmentioning

confidence: 99%

“…Thoracic endometriosis (TE) is a clinical condition manifested clinically by catamenial pneumothorax, hemoptysis, catamenial hemothorax and pulmonary nodules [1][2][3].…”

Section: Introdutionmentioning

confidence: 99%

Section: Introdutionmentioning

confidence: 99%

Section: Introdutionmentioning

confidence: 99%

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Catamenial Pneumothorax

Marina Gabriela

2023

Int J Respir Pulm Med

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“…Решение вопроса об объеме вмешательства на диафрагме представляется простым: показано ушивание дефекта диафрагмы. В ряде публикаций рекомендуется резекция диафрагмы и пластика сетчатым протезом, если у пациента имеется несколько рядом расположенных дефектов и ушивание каждого из них оказывается проблематичным [9,16]. Но даже в случае легко ушиваемых дефектов следует «подстраховаться» вторым рядом швов диафрагмы в виде «складки».…”

Section: обсужденияunclassified

The Problem of Treatment of Endometriosis-Associated Pneumothrax: Difficult Diagnosis or Failes of Tactics?

Korymasov

Анатольевич²,

Benian³

et al. 2019

VECS

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The aim of the study is to illustrate the case reports of patients with catamenial pneumothorax and with consecutive discussion about the causes of late diagnosis of endometriosis and recurrence of pneumothorax.Material and methods. Three own clinical cases of middle-aged women with catamenial pneumothorax who were treated in the surgical thoracic department of the «Samara Regional Clinical Hospital named after V.D. Seredavina» in 2017 had been described.Results. In all clinical cases the pleuroperitoneal fistula was the direct cause of the development of pneumothorax due to the germination of the endometrial node. The lack of caution regarding endometriosis leads to the fact that the revision of the diaphragm during thoracoscopy is performed rarely and very superficially. The solution about the volume of diaphragm repair is simple: the suturing of the defect is indicated. The definition of gynecological tactics should go parallel to the surgical one immediately, as soon as the assumption of possible endometriosis appeared.Conclusion. It is important to remember about endometriosis of the diaphragm as a possible reason of spontaneous pneumothorax in women of reproductive age. When performing thoracoscopy, a revision of the diaphragm is necessary to identify its possible fenestration. Prevention of recurrent pneumothorax consists in the induction of pleurodesis and the subsequent treatment of endometriosis by an obstetrician-gynecologist.

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