Catamenial Pneumothorax in a Patient with Endometriosis: A Case Report (original) (raw)
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Right hemothorax secondary to endometriosis
Current Medical Issues, 2020
Endometriosis is said to have a low incidence in women with African descent. However, recent studies have shown otherwise. Thoracic involvement is rare; thoracic endometriosis syndrome mostly affects nulliparous women within the ages of 25–35 years. The diagnosis is usually missed or delayed by clinicians. We report the case of a 26-year-old female with catamenial hemothorax secondary to thoracic endometriosis. A high index of suspicion for this condition should be maintained in women of the reproductive age group presenting with dyspnea/chest pain, severe dysmenorrhea, and background history of chronic pelvic pain. A multidisciplinary approach involving the radiographers, gynecologists, pulmonologists, and the thoracic surgeons coupled with hormonal therapy and surgical treatment will go a long way in improving this disease condition and preventing reoccurrences.
European Journal of Obstetrics & Gynecology and Reproductive Biology, 2018
To evaluate the clinical features of thoracic endometriosis syndrome (TES) represented by catamenial pneumothorax (CP), endometriosis-related pneumothorax (ERP), and catamenial hemoptysis (CH). Study design: In this retrospective study, we enrolled 25 patients with TES, 18 of whom had CP/ERP and 7 had CH, to investigate the clinical presentation, effectiveness of treatment, and recurrence rates in these disorders. Results: The age at onset was significantly lower in patients with CH than in patients with CP/ERP (P < 0.05). In 94.4% of patients with CP/ERP, pneumothorax was observed on either the right side or bilaterally, however there was no tendency toward laterality of CH among our cases. In our study, patients with CP/ERP predominantly underwent surgical management and the recurrence rate during treatment was higher in patients with CP/ERP than in those with CH. We found that the recurrence frequency of CP/ERP was lowest under the combination therapy with thoracic surgery and postoperative hormonal therapy. Conclusion: Our findings suggest that CP/ERP and CH are different pathological conditions and CP/ERP is more difficult to manage than CH.
Extraperitoneal endometriosis with catamenial pneumothoraces: a review of the literature
Journal of the Society of Laparoendoscopic Surgeons
To present a case of recurrent catamenial pneumothorax and diaphragmatic endometriosis that was managed thoracoscopically. A review of the literature is also presented. A-28-year-old woman presented with bloody stools, chronic constipation, and chest pain. A review of systems was positive for monthly chest pain associated with her menses. A preoperative chest x-ray revealed a right pneumothorax. Colonoscopy revealed biopsy proven endometriosis of the sigmoid colon. A pelvic computed tomography scan revealed bilateral complex, cystic and solid adenexal lesions. A right thoracoscopy was performed. A lesion on the right hemidiaphragm was excised and confirmed to be endometriosis. A wedge section of lung tissue containing a bleb was resected and also contained endometriosis. Three months later, the patient underwent laparoscopic excision of her pelvic endometriosis, including a low anterior rectal resection. Five months later, she presented again with right-sided chest pain. A thoracosc...
Massive Catamenial Hemothorax: Rare Case of Thoracic Endometriosis Syndrome
https://www.ijhsr.org/IJHSR\_Vol.11\_Issue.1\_Jan2021/IJHSR\_Abstract.030.html, 2021
Spontaneous hemothorax is only rarely due to thoracic endometriosis (TE). TE is presence of ectopic endometrial tissue in thoracic. It is rare phenomena seen in women of childbearing age with predominantly right-sided hemothorax and temporal relationship to menses. We report a thirty-seven-year-old Omani lady who was admitted in Sultan Qaboos hospital, Salalah with Spontaneous hemothorax and dysmenorrhea. She had past history of primary infertility due to endometriosis and she lost follow up. Therefore, TE was suspected and was introduced hormone therapy after chest drain inserted. She had recurrent hemothorax after discharge subsequently, she underwent VATS which help visualization of endometrial lesions with pleurectomy of the involved areas and mechanical decortication and pleurodesis using scratch pad were done. Histopathology confirms diagnosis of TE. She continued hormonal therapy and repeated image showed no recurrence.
Cureus, 2021
Endometriosis is the presence of endometrial glands and stroma outside the uterine cavity. It is usually confined to the pelvis, particularly the ovaries, cul-de-sac, broad ligaments, and uterosacral ligaments, but it can also expand outside the pelvis. The thorax is among the common extrapelvic locations. Thoracic endometriosis syndrome (TES) is a rare disorder characterized by the presence of functioning endometrial tissue in the pleura, lung parenchyma, and airways. This report presents a case of a young female patient with advanced endometriosis and premature ovarian failure who was admitted with dyspnea that turned to be due to a rare endometriosis-related complication.
Thoracic endometriosis presenting as hemopneumothorax
Monaldi Archives for Chest Disease
Thoracic endometriosis is very rare. Usually, the thorax is the most frequent affected site outside the pelvis. Common symptoms include chest pain, dyspnea, and hemoptysis. Common manifestations include pneumothorax, hemothorax, and pulmonary or pleural nodules. In addition, symptoms and manifestations can be “catamenial” happening a few days after menstruation onset. This disease can be debilitating, causing a significant impact on the quality of life of young women. We present a case of a young female who was referred to our hospital with recurrent right-sided pleural effusions and pneumothoraces. Pleural fluid drainage was consistent with hemothorax. Transvaginal ultrasound showed mild intraperitoneal fluid in the Cul-de-Sac. Due to concerns for thoracic endometriosis, video-assisted thoracoscopic surgery was performed confirming the diagnosis by pathology. Therapeutic pleurectomy with diaphragmatic repair and pleurodesis was performed. The patient was started on medroxyprogester...
Thoracic Endometriosis: Current Knowledge
The Annals of Thoracic Surgery, 2006
Thoracic endometriosis syndrome includes four wellrecognized clinical entities, namely catamenial pneumothorax, catamenial hemothorax, catamenial hemoptysis and lung nodules, as well as some exceptional presentations. The etiological mechanisms of this syndrome are not well understood, and different theories have been proposed. Controversies exist about optimal manage-ment, as experience has been drawn from case reports and small clinical series. Surgery, hormonal treatments and combined approaches have all been proposed, with variable results in terms of short and long term outcome.
Pneumoperitoneum associated with catamenial pneumothorax in women with thoracic endometriosis
Fertility and Sterility, 2009
Objective: To elucidate the pathophysiology of catamenial pneumothorax (CP) due to thoracic endometriosis and support the theory of the transdiaphragmatic passage of air from the genital tract through diaphragmatic perforations caused by endometrial implants. Design: Three case reports. Setting: Academic hospital. Patient(s): Three women with pneumoperitoneum concomitant to CP. Intervention(s): Thoracic/abdominal computed tomography scans and chest x-rays. Main Outcome Measure(s): Presence of pneumoperitoneum coexisting with CP. Result(s): The observation of pneumoperitoneum associated with CP supports the theory of the transdiaphragmatic passage of air, which implies the occurrence of a pneumoperitoneum as an intermediate step. Conclusion(s): Our three cases strongly support the theory of the transdiaphragmatic passage of air in the pathogenesis of CP. (Fertil Steril Ò 2009;91:930.e19-e22. Ó2009 by American Society for Reproductive Medicine.
Catamenial pneumothorax due to bilateral pulmonary endometriosis
Respiratory care, 2012
Pulmonary endometriosis is diagnosed when endometrial tissue is found within the respiratory system. Pneumothorax is the most common presentation of this disorder. A 19-year-old female presented with symptoms of right-sided pneumothorax. She had a twoyear history of menstrual-related chest pain and right-sided pneumothorax requiring multiple hospitalizations. Emergent chest tube insertion was performed. She subsequently underwent video-assisted thoracoscopy. Pathology showed pulmonary endometriosis. The diagnosis of pulmonary endometriosis is often difficult. When pneumothorax occurs temporally with menstrual cycles, catamenial pneumothorax should be suspected. Video-assisted thoracoscopy is a safer and less invasive modality of therapy. (Tzu Chi Med J 2006; 18:305-307)
Pneumothorax Associated with Thoracic Endometriosis: Current Knowledge
BJSTR, 2021
Endometriosis is a condition in which endometrial-like glands and stroma are located outside of the uterine cavity. The ectopic endometrium is encountered most commonly pelvic structures such as ovary, uterine ligaments, pelvic peritoneum, and genital structures [1-4]. The usual site of endometriosis outside of the abdominopelvic cavity is in or around the lung (intrathoracic cavity) (Figure 1). Although endometriosis in general can affect up to 15% of women of reproductive age,