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Catamenial pneumothorax, clinical manifestations--a multidisciplinary challenge.
Pneumonol Alergol Pol. 2011; 79(5):347-50.PA

Abstract

INTRODUCTION

Pleural endometriosis is a rare condition. Spontaneous, recurring pneumothorax occurring during menstruation, referred to as catamenial pneumothorax, is associated with pleural endometriosis. A multidisciplinary approach is needed for a successful result.

MATERIAL AND METHODS

During the last five years (2005-2010), we have treated six patients with menstruation related pneumothorax at Oslo University Hospital. The surgical treatment was performed by the thoracic surgery department but the medical follow-up was carried out by the gynecological and pulmonary medicine departments.

RESULTS

We report three of the patients treated. All three patients were premenopausal, aged 19-36, and had recurring, menstruation related, spontaneous pneumothorax, predominantly on the right side. The condition was treated by various surgical approaches, including chest tube drainage, video assisted thoracic surgery, chemical pleurodeses and thoracotomy.

CONCLUSION

Spontaneous, recurring pneumothorax in women with no previous history of endometriosis can be the first manifestation of pleural endometriosis. The disorder requires surgical intervention, but early diagnosis and postoperative hormonal therapy are just as important for a successful outcome.

Authors+Show Affiliations

Department of Thoracic Surgery, Oslo University Hospital, Ulleval HF,Kirkeveien 166, 0407 Oslo Norway. petermajak@hotmail.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21861259

Citation

Majak, Peter, et al. "Catamenial Pneumothorax, Clinical Manifestations--a Multidisciplinary Challenge." Pneumonologia I Alergologia Polska, vol. 79, no. 5, 2011, pp. 347-50.
Majak P, Langebrekke A, Hagen OM, et al. Catamenial pneumothorax, clinical manifestations--a multidisciplinary challenge. Pneumonol Alergol Pol. 2011;79(5):347-50.
Majak, P., Langebrekke, A., Hagen, O. M., & Qvigstad, E. (2011). Catamenial pneumothorax, clinical manifestations--a multidisciplinary challenge. Pneumonologia I Alergologia Polska, 79(5), 347-50.
Majak P, et al. Catamenial Pneumothorax, Clinical Manifestations--a Multidisciplinary Challenge. Pneumonol Alergol Pol. 2011;79(5):347-50. PubMed PMID: 21861259.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Catamenial pneumothorax, clinical manifestations--a multidisciplinary challenge. AU - Majak,Peter, AU - Langebrekke,Anton, AU - Hagen,Ole Magnus, AU - Qvigstad,Erik, PY - 2011/8/24/entrez PY - 2011/8/24/pubmed PY - 2012/1/31/medline SP - 347 EP - 50 JF - Pneumonologia i alergologia polska JO - Pneumonol Alergol Pol VL - 79 IS - 5 N2 - INTRODUCTION: Pleural endometriosis is a rare condition. Spontaneous, recurring pneumothorax occurring during menstruation, referred to as catamenial pneumothorax, is associated with pleural endometriosis. A multidisciplinary approach is needed for a successful result. MATERIAL AND METHODS: During the last five years (2005-2010), we have treated six patients with menstruation related pneumothorax at Oslo University Hospital. The surgical treatment was performed by the thoracic surgery department but the medical follow-up was carried out by the gynecological and pulmonary medicine departments. RESULTS: We report three of the patients treated. All three patients were premenopausal, aged 19-36, and had recurring, menstruation related, spontaneous pneumothorax, predominantly on the right side. The condition was treated by various surgical approaches, including chest tube drainage, video assisted thoracic surgery, chemical pleurodeses and thoracotomy. CONCLUSION: Spontaneous, recurring pneumothorax in women with no previous history of endometriosis can be the first manifestation of pleural endometriosis. The disorder requires surgical intervention, but early diagnosis and postoperative hormonal therapy are just as important for a successful outcome. SN - 0867-7077 UR - https://www.unboundmedicine.com/medline/citation/21861259/Catamenial_pneumothorax_clinical_manifestations__a_multidisciplinary_challenge_ L2 - http://czasopisma.viamedica.pl/pap/article/view/27638 DB - PRIME DP - Unbound Medicine ER -