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Catamenial pneumothorax: a case report and review of the literature.
J Womens Health (Larchmt) 2008; 17(3):367-72JW

Abstract

A 39-year-old woman presented with the chief complaint of right-sided chest pressure and shortness of breath with dry cough for 3 days. These symptoms coincided with the onset of her menstrual cycle. Her physical examination was significant for decreased breath sounds at the right lung base. Her chest x-ray showed a moderate sized right pneumothorax extending from the apex to the lung base and a small amount of pleural fluid, findings that were verified by chest CT. The patient was seen by consultants from the pulmonary, obstetrics/gynecology, and thoracic surgery services, who agreed that the clinical diagnosis was catamenial pneumothorax, probably associated with thoracic endometriosis. The patient was discharged on levonorgestrel/ethinyl estradiol tablets, which she opted not to take. Three months later, she had similar symptoms that occurred again at the time of menstruation. Her chest x-ray now showed a 10% right-sided pneumothorax. Catamenial pneumothorax is a rare condition affecting women in their reproductive years. Women with this condition most commonly have right-sided pneumothorax. The proper diagnosis is based on being aware of the existence of this relatively rare condition and relating the symptoms of pneumothorax temporally to the menses.

Authors+Show Affiliations

Internal Medicine, Advocate Illinois Masonic Medical Center, Chicago, Illinois 60657, USA. dpapafragaki@hotmail.comNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

18328011

Citation

Papafragaki, Dafne, and Laura Concannon. "Catamenial Pneumothorax: a Case Report and Review of the Literature." Journal of Women's Health (2002), vol. 17, no. 3, 2008, pp. 367-72.
Papafragaki D, Concannon L. Catamenial pneumothorax: a case report and review of the literature. J Womens Health (Larchmt). 2008;17(3):367-72.
Papafragaki, D., & Concannon, L. (2008). Catamenial pneumothorax: a case report and review of the literature. Journal of Women's Health (2002), 17(3), pp. 367-72. doi:10.1089/jwh.2007.0553.
Papafragaki D, Concannon L. Catamenial Pneumothorax: a Case Report and Review of the Literature. J Womens Health (Larchmt). 2008;17(3):367-72. PubMed PMID: 18328011.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Catamenial pneumothorax: a case report and review of the literature. AU - Papafragaki,Dafne, AU - Concannon,Laura, PY - 2008/3/11/pubmed PY - 2008/7/12/medline PY - 2008/3/11/entrez SP - 367 EP - 72 JF - Journal of women's health (2002) JO - J Womens Health (Larchmt) VL - 17 IS - 3 N2 - A 39-year-old woman presented with the chief complaint of right-sided chest pressure and shortness of breath with dry cough for 3 days. These symptoms coincided with the onset of her menstrual cycle. Her physical examination was significant for decreased breath sounds at the right lung base. Her chest x-ray showed a moderate sized right pneumothorax extending from the apex to the lung base and a small amount of pleural fluid, findings that were verified by chest CT. The patient was seen by consultants from the pulmonary, obstetrics/gynecology, and thoracic surgery services, who agreed that the clinical diagnosis was catamenial pneumothorax, probably associated with thoracic endometriosis. The patient was discharged on levonorgestrel/ethinyl estradiol tablets, which she opted not to take. Three months later, she had similar symptoms that occurred again at the time of menstruation. Her chest x-ray now showed a 10% right-sided pneumothorax. Catamenial pneumothorax is a rare condition affecting women in their reproductive years. Women with this condition most commonly have right-sided pneumothorax. The proper diagnosis is based on being aware of the existence of this relatively rare condition and relating the symptoms of pneumothorax temporally to the menses. SN - 1540-9996 UR - https://www.unboundmedicine.com/medline/citation/18328011/Catamenial_pneumothorax:_a_case_report_and_review_of_the_literature_ L2 - https://www.liebertpub.com/doi/full/10.1089/jwh.2007.0553?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -