open access

Vol 79, No 5 (2011)
ORIGINAL PAPERS
Published online: 2011-08-22
Submitted: 2013-02-22
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Catamenial pneumothorax, clinical manifestations — a multidisciplinary challenge

Peter Majak, Anton Langebrekke, Ole Magnus Hagen, Erik Qvigstad
Pneumonol Alergol Pol 2011;79(5):347-350.

open access

Vol 79, No 5 (2011)
ORIGINAL PAPERS
Published online: 2011-08-22
Submitted: 2013-02-22

Abstract

Introduction: 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.
Material and methods: 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.
Results: 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.
Conclusion: 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.
Pneumonol. Alergol. Pol. 2011; 79, 5: 347–350

Abstract

Introduction: 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.
Material and methods: 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.
Results: 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.
Conclusion: 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.
Pneumonol. Alergol. Pol. 2011; 79, 5: 347–350
Get Citation

Keywords

pneumothorax; endometriosis; catamenial

About this article
Title

Catamenial pneumothorax, clinical manifestations — a multidisciplinary challenge

Journal

Advances in Respiratory Medicine

Issue

Vol 79, No 5 (2011)

Pages

347-350

Published online

2011-08-22

Bibliographic record

Pneumonol Alergol Pol 2011;79(5):347-350.

Keywords

pneumothorax
endometriosis
catamenial

Authors

Peter Majak
Anton Langebrekke
Ole Magnus Hagen
Erik Qvigstad

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