Article

Life-threatening endometriosis-related hemopneumothorax.

Service d'Anatomie et de Cytologie Pathologiques, Paris, France.
The Annals of thoracic surgery (impact factor: 3.74). 09/2006; 82(2):726-9. DOI:10.1016/j.athoracsur.2005.10.002 pp.726-9
Source: PubMed

ABSTRACT Catamenial pneumothorax is a relatively rare condition, generally of mild to moderate severity. We report the case of a 29-year-old woman who experienced an episode of life threatening right-sided hemopneumothorax in association with menses. She had already been operated on for recurrent pneumothorax. Treatment of the current episode included urgent tube thoracostomy and iterative thoracotomy, together with lung wedge resection, parietal pleurectomy, and partial diaphragmatic excision. Pathologic examination revealed endometrial implants massively involving the diaphragm, the pleura, and the lung parenchyma. The present report shows that endometriosis-related pneumothorax may be extremely severe. The multiple localizations of endometrial implants in this case may provide a support to the different pathogenic theories of endometriosis-related pneumothorax.

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    Article: Catamenial pneumothorax, clinical manifestations--a multidisciplinary challenge.
    Peter Majak, Anton Langebrekke, Ole Magnus Hagen, Erik Qvigstad
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    ABSTRACT: Pleural endometriosis is a rare condition. Spontaneous, recurring pneumothorax occurring during menstruation, referred to as catamenial pneumothorax, is associated with pleural endometriosis. A multidisciplinary approach is needed for a successful result. During the last five years (2005-2010), we have treated six patients with menstruation related pneumothorax at Oslo University Hospital. The surgical treatment was performed by the thoracic surgery department but the medical follow-up was carried out by the gynecological and pulmonary medicine departments. We report three of the patients treated. All three patients were premenopausal, aged 19-36, and had recurring, menstruation related, spontaneous pneumothorax, predominantly on the right side. The condition was treated by various surgical approaches, including chest tube drainage, video assisted thoracic surgery, chemical pleurodeses and thoracotomy. Spontaneous, recurring pneumothorax in women with no previous history of endometriosis can be the first manifestation of pleural endometriosis. The disorder requires surgical intervention, but early diagnosis and postoperative hormonal therapy are just as important for a successful outcome.
    Pneumonologia i alergologia polska: organ Polskiego Towarzystwa Ftyzjopneumonologicznego, Polskiego Towarzystwa Alergologicznego, i Instytutu Gruzlicy i Chorob Pluc 01/2011; 79(5):347-50.
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Keywords

29-year-old woman
 
different pathogenic theories
 
endometrial implants
 
endometriosis-related pneumothorax
 
iterative thoracotomy
 
lung wedge resection
 
menses
 
moderate severity
 
parietal pleurectomy
 
partial diaphragmatic excision
 
present report
 
rare condition
 
right-sided hemopneumothorax
 
urgent tube thoracostomy