Case reportCatamenial Pneumothorax With Bullae
Section snippets
Patient 1
A 24-year-old woman presented during her menses with right-sided chest pain and dyspnea of a few hours’ duration. Chest roentgenograms showed a collapsed right lung, and chest computed tomography (CT) revealed a bulla on the right upper lobe of the lung.
Video-assisted thoracoscopic surgery (VATS) was performed to resect the bulla. Histopathologic examination with hematoxylin and eosin (HE) staining (Fig 1A) revealed collapsed small bullae located next to the main bulla, and no overt endometrial
Comment
The underlying physiologic mechanism of catamenial pneumothorax remains obscure. Korom and colleagues [2] reported that in 73 patients with catamenial pneumothorax, who underwent intraoperative exploration, 38.8% had diaphragmatic lesions, such as diaphragmatic endometriosis or perforation, 29.6% had endometriosis of the visceral pleura, 23.1% had bullae/blebs, and 8.5% had no lesions.
Along with these intrathoracic findings, four mechanisms of catamenial pneumothorax have been proposed in the
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Cited by (8)
Thoracic Endometriosis: A Review Comparing 480 Patients Based on Catamenial and Noncatamenial Symptoms
2022, Journal of Minimally Invasive GynecologyCitation Excerpt :The final exclusion was made of cases in which the patient's symptomatology was not presented clearly or endometriosis was an incidental operative finding. The final exclusion yielded 240 articles and 480 patients for inclusion in this review (Fig. 1) [7–246]. The patients were categorized for assessment into 2 groups depending on whether the presentation of their symptoms was catamenial (n = 419) or noncatamenial (n = 61).
Catamenial pneumothorax: estrogen receptor staining may prompt a diagnosis: A case study
2022, Polish Archives of Internal MedicineCatamenial pneumothorax with bubbling up on the diaphragmatic defects: a case report
2021, BMC Women's HealthA case of thoracic endometriosis-related pneumothorax in a menopausal woman
2020, General Thoracic and Cardiovascular Surgery