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Related Experiment Videos

Cathamenial pneumothorax.

S Gerlinzani1, M Tos, D Poliziani

  • 1Università degli Studi di Milano, Ospedale Luigi Sacco, Cattedra di Chirurgia Generale, Divisione di Chirurgia Generale II, Via G. B. Grassi 74, 20157 Milan, Italy.

Surgical Endoscopy
|May 9, 2002
PubMed
Summary
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Catamenial pneumothorax, a rare condition causing recurrent collapsed lungs during menstruation, was treated in a patient with endometriosis. Surgical intervention revealed lung blebs, not diaphragmatic defects, leading to successful treatment.

Area of Science:

  • Thoracic Surgery
  • Gynecologic Pathology

Background:

  • Catamenial pneumothorax is a rare condition characterized by recurrent spontaneous pneumothorax coinciding with menstruation.
  • Pelvic endometriosis is often associated with catamenial pneumothorax, though the exact pathophysiology remains debated.

Observation:

  • A 34-year-old female presented with recurrent pneumothorax refractory to chest drainage, temporally linked to her menstrual cycle.
  • The patient had a history of pelvic endometriosis.

Findings:

  • Video-assisted thoracoscopic exploration (VATS) identified dystrophic parenchymal blebs in the middle lobe.
  • Atypical resection of the blebs and pleurodesis were performed.
  • No diaphragmatic fenestrations or ectopic endometriosis foci were observed during VATS.

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Implications:

  • This case highlights the importance of considering parenchymal lung disease in catamenial pneumothorax, even in patients with endometriosis.
  • Surgical management involving bleb resection and pleurodesis can be effective.
  • The absence of diaphragmatic defects challenges some etiological theories for this condition.