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Menstruation-related spontaneous pneumothorax and diaphragmatic endometriosis.
Acta Obstet Gynecol Scand. 2010 Sep; 89(9):1192-6.AO

Abstract

Menstruation-related spontaneous pneumothorax (MSP), also termed catamenial pneumothorax, is a syndrome of spontaneous pneumothorax during menstruation due to endometriotic lesions in the diaphragm and thoracic cavity. Previously MSP was considered rare, and to cause only 3-6% of all spontaneous pneumothoraces in otherwise healthy women. Current data suggest that the incidence is substantially higher and MSP might be the reason for spontaneous pneumothoraces in up to 25-33% of all cases in women of reproductive age. The typical characteristics are a high recurrence rate and diaphragmatic spread of endometriotic lesions. We report six patients who had been diagnosed to have diaphragmatic endometriosis and four of them had developed MSP. Optimal management requires flexible collaboration between thoracic surgeons and gynecologists. Although treatment is primarily surgical, long-lasting and successful management requires that amenorrhea is induced with hormonal therapy, either by continuous contraceptives, progestins, the levonorgestrel-releasing intrauterine device or GnRH-agonists.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Helsinki University Hospital, Finland. paivi.harkki@hus.fiNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

20524838

Citation

Härkki, Päivi, et al. "Menstruation-related Spontaneous Pneumothorax and Diaphragmatic Endometriosis." Acta Obstetricia Et Gynecologica Scandinavica, vol. 89, no. 9, 2010, pp. 1192-6.
Härkki P, Jokinen JJ, Salo JA, et al. Menstruation-related spontaneous pneumothorax and diaphragmatic endometriosis. Acta Obstet Gynecol Scand. 2010;89(9):1192-6.
Härkki, P., Jokinen, J. J., Salo, J. A., & Sihvo, E. (2010). Menstruation-related spontaneous pneumothorax and diaphragmatic endometriosis. Acta Obstetricia Et Gynecologica Scandinavica, 89(9), 1192-6. https://doi.org/10.3109/00016349.2010.493194
Härkki P, et al. Menstruation-related Spontaneous Pneumothorax and Diaphragmatic Endometriosis. Acta Obstet Gynecol Scand. 2010;89(9):1192-6. PubMed PMID: 20524838.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Menstruation-related spontaneous pneumothorax and diaphragmatic endometriosis. AU - Härkki,Päivi, AU - Jokinen,Janne J, AU - Salo,Jarmo A, AU - Sihvo,Eero, PY - 2010/6/8/entrez PY - 2010/6/8/pubmed PY - 2010/9/30/medline SP - 1192 EP - 6 JF - Acta obstetricia et gynecologica Scandinavica JO - Acta Obstet Gynecol Scand VL - 89 IS - 9 N2 - Menstruation-related spontaneous pneumothorax (MSP), also termed catamenial pneumothorax, is a syndrome of spontaneous pneumothorax during menstruation due to endometriotic lesions in the diaphragm and thoracic cavity. Previously MSP was considered rare, and to cause only 3-6% of all spontaneous pneumothoraces in otherwise healthy women. Current data suggest that the incidence is substantially higher and MSP might be the reason for spontaneous pneumothoraces in up to 25-33% of all cases in women of reproductive age. The typical characteristics are a high recurrence rate and diaphragmatic spread of endometriotic lesions. We report six patients who had been diagnosed to have diaphragmatic endometriosis and four of them had developed MSP. Optimal management requires flexible collaboration between thoracic surgeons and gynecologists. Although treatment is primarily surgical, long-lasting and successful management requires that amenorrhea is induced with hormonal therapy, either by continuous contraceptives, progestins, the levonorgestrel-releasing intrauterine device or GnRH-agonists. SN - 1600-0412 UR - https://www.unboundmedicine.com/medline/citation/20524838/Menstruation_related_spontaneous_pneumothorax_and_diaphragmatic_endometriosis_ L2 - https://doi.org/10.3109/00016349.2010.493194 DB - PRIME DP - Unbound Medicine ER -