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Recurrent pneumothorax diagnosed as catamenial after videothoracoscopic examination of the pleural cavity.
Surg Laparosc Endosc Percutan Tech. 2011 Apr; 21(2):e81-3.SL

Abstract

We describe a case of catamenial pneumothorax due to a diaphragmatic defect that was confirmed and treated through the thoracoscopic approach. The patient was a 34-year-old woman who had 3 episodes of right chest pain and shortness of breath, each time starting on the day preceding her menstruation. During thoracoscopy, pathologic changes in the central tendon were apparent, as a 2-mm defect in the diaphragm was discovered. The defect was sutured. Apical pleurectomy and chemical pleurodesis were applied. According to the literature, suspicion of catamenial pneumothorax requires detailed examination of the diaphragm. Every effort, such as pleurectomy and pleurodesis, with postoperative hormonal therapy, should be added to treatment, owing to the high probability of recurrence.

Authors+Show Affiliations

Department of Thoracic Surgery, Sureyyapasa Chest Disease and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

21471787

Citation

Baysungur, Volkan, et al. "Recurrent Pneumothorax Diagnosed as Catamenial After Videothoracoscopic Examination of the Pleural Cavity." Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, vol. 21, no. 2, 2011, pp. e81-3.
Baysungur V, Tezel C, Okur E, et al. Recurrent pneumothorax diagnosed as catamenial after videothoracoscopic examination of the pleural cavity. Surg Laparosc Endosc Percutan Tech. 2011;21(2):e81-3.
Baysungur, V., Tezel, C., Okur, E., & Yilmaz, B. (2011). Recurrent pneumothorax diagnosed as catamenial after videothoracoscopic examination of the pleural cavity. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, 21(2), e81-3. https://doi.org/10.1097/SLE.0b013e31820af7f9
Baysungur V, et al. Recurrent Pneumothorax Diagnosed as Catamenial After Videothoracoscopic Examination of the Pleural Cavity. Surg Laparosc Endosc Percutan Tech. 2011;21(2):e81-3. PubMed PMID: 21471787.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Recurrent pneumothorax diagnosed as catamenial after videothoracoscopic examination of the pleural cavity. AU - Baysungur,Volkan, AU - Tezel,Cagatay, AU - Okur,Erdal, AU - Yilmaz,Birsen, PY - 2011/4/8/entrez PY - 2011/4/8/pubmed PY - 2011/9/7/medline SP - e81 EP - 3 JF - Surgical laparoscopy, endoscopy & percutaneous techniques JO - Surg Laparosc Endosc Percutan Tech VL - 21 IS - 2 N2 - We describe a case of catamenial pneumothorax due to a diaphragmatic defect that was confirmed and treated through the thoracoscopic approach. The patient was a 34-year-old woman who had 3 episodes of right chest pain and shortness of breath, each time starting on the day preceding her menstruation. During thoracoscopy, pathologic changes in the central tendon were apparent, as a 2-mm defect in the diaphragm was discovered. The defect was sutured. Apical pleurectomy and chemical pleurodesis were applied. According to the literature, suspicion of catamenial pneumothorax requires detailed examination of the diaphragm. Every effort, such as pleurectomy and pleurodesis, with postoperative hormonal therapy, should be added to treatment, owing to the high probability of recurrence. SN - 1534-4908 UR - https://www.unboundmedicine.com/medline/citation/21471787/Recurrent_pneumothorax_diagnosed_as_catamenial_after_videothoracoscopic_examination_of_the_pleural_cavity_ L2 - http://dx.doi.org/10.1097/SLE.0b013e31820af7f9 DB - PRIME DP - Unbound Medicine ER -