Related Experiment Videos
Stromal-only endometriosis catamenial pneumothorax: A diagnostic algorithm with potential pitfalls
Riccardo Papa1, Alberto Meroni2, Matteo Incarbone3
1Inter-hospital Pathology Division, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), MultiMedica, Via G. Fantoli 16/15, Milan, 20138, Italy.
Summary
Catamenial pneumothorax (CP), a rare condition linked to thoracic endometriosis, often affects the right side. Diagnosing stromal-only endometriosis causing CP can be challenging, requiring careful clinicopathologic correlation.
Area of Science:
- Reproductive Medicine
- Thoracic Surgery
- Pathology
Background:
- Catamenial pneumothorax (CP) is a rare recurrent spontaneous pneumothorax linked to thoracic endometriosis.
- It predominantly affects the right hemithorax, possibly due to transdiaphragmatic endometrial tissue migration.
- Diagnosis is difficult with gland-deficient stromal-only endometriosis.
Purpose of the Study:
- To describe two challenging cases of recurrent right-sided pneumothorax due to stromal-only endometriosis.
- To propose a diagnostic flowchart for gland-deficient thoracic endometriosis.
- To emphasize clinicopathologic correlation in diagnosing difficult CP cases.
Main Methods:
- Case report analysis of two patients with recurrent pneumothorax.
- Histopathological review of endometrial deposits.
- Development of a diagnostic flowchart.
Main Results:
- Two cases of recurrent right-sided pneumothorax were identified.
- Paucifocal endometrial deposits consistent with stromal-only endometriosis were found.
- Diagnostic challenges were noted due to the absence of endometrial glands.
Conclusions:
- Stromal-only endometriosis can cause challenging cases of catamenial pneumothorax.
- A diagnostic flowchart can aid in recognizing gland-deficient thoracic endometriosis.
- Close clinicopathologic correlation is crucial for accurate diagnosis.
Related Concept Videos
01:26Endoscopic Studies II: Thoracocentesis
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
01:30Endoscopic Studies I: Bronchoscopy and Thoracoscopy
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due to...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due to...
01:26Pneumothorax-I
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
01:27Pneumothorax-II
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations: