A case of multisystem endometriosis
Pardeep Athwal1, Krishna Patel1, Cameron Hassani2
1Department of Radiology, University of Connecticut John Dempsey Hospital, Farmington, CT, USA.
Journal of Radiology Case Reports
|January 15, 2014
Summary
Catamenial pneumothorax, a rare condition linked to endometriosis, involves recurrent collapsed lungs (pneumothoraces) coinciding with menstruation. This case highlights endometrial implants in the pleura and omentum, confirming the link.
Area of Science:
- Gynecology
- Pulmonology
- Pathology
Background:
- Catamenial pneumothorax is a rare condition.
- It is a complication of thoracic endometriosis.
Observation:
- A 37-year-old female presented with recurrent pneumothoraces.
- The pneumothoraces showed a temporal relationship with her menses.
- Nodular masses were found in her omentum.
Findings:
- Thoracoscopic biopsy confirmed endometrial implants in the pleural space.
- Endometrial implants were also identified within the omental cavity.
Implications:
- This case supports the association between endometriosis and catamenial pneumothorax.
- Understanding the pathogenesis is crucial for diagnosis and management.
- Further research into radiological features and treatment is warranted.


