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[Catamenial pneumothorax: easy to see, difficult to manage].
Rev Pneumol Clin. 2014 Jun; 70(3):127-32.RP

Abstract

INTRODUCTION

Catamenial pneumothorax (PNO) is a real clinical occurrence. Several cases are reported in the literature as a spontaneous PNO occurring during the catamenial period among women in their thirties. There is no consensus about management and the recurrence rate is very high whatever the initial treatment.

PATIENTS AND METHODS

Among 310 cases of spontaneous PNO operated in our institution in 10 years, we identified five cases of catamenial PNO. A retrospective study of these cases was used to study the initial operating data, including the existence of intrathoracic lesions and the choice of technique of pleurodesis. Patient follow-up was clinically and radiologically. Adjuvant hormonal therapies, recurrence of PNO and treatment modalities have been studied.

RESULTS

These five patients of average age 37.6 years (37,38) who had 2.6 (2.3) episodes of right catamenial PNO before hospitalization in surgery department. No patient was smoker. Two of them had a known thoracic or pelvic endometriosis. The initial surgery was video assisted thoracic surgery with a parietal pleurectomy and twice a mesh upon the diaphragm. There were no immediate postoperative complications, and the average length of stay was 6.6 days (5.9). Two patients had adjuvant hormonal therapy. All patients had at least one recurrence and three of them had redo surgery.

CONCLUSION

The diagnosis of catamenial PNO must be mentioned in any woman who has a spontaneous pneumothorax right in catamenial period. Endometriosis should be systematically sought. A standardized therapeutic approach to establish the role of surgery and the most appropriate technique as well as the appropriateness and duration of peroperative hormonal therapy remains to be defined.

Authors+Show Affiliations

Service de chirurgie thoracique, hôpital d'instruction des armées A.-Laveran, 13384 Marseille cedex 13, France.Service de chirurgie thoracique, hôpital d'instruction des armées A.-Laveran, 13384 Marseille cedex 13, France.Service de chirurgie thoracique, hôpital d'instruction des armées A.-Laveran, 13384 Marseille cedex 13, France.Service de chirurgie thoracique, hôpital d'instruction des armées A.-Laveran, 13384 Marseille cedex 13, France.Service de chirurgie thoracique, hôpital d'instruction des armées A.-Laveran, 13384 Marseille cedex 13, France.Service de chirurgie thoracique, hôpital d'instruction des armées A.-Laveran, 13384 Marseille cedex 13, France. Electronic address: avarojp@orange.fr.

Pub Type(s)

English Abstract
Journal Article

Language

fre

PubMed ID

24210156

Citation

Beranger, F, et al. "[Catamenial Pneumothorax: Easy to See, Difficult to Manage]." Revue De Pneumologie Clinique, vol. 70, no. 3, 2014, pp. 127-32.
Beranger F, de Lesquen H, Goin G, et al. [Catamenial pneumothorax: easy to see, difficult to manage]. Rev Pneumol Clin. 2014;70(3):127-32.
Beranger, F., de Lesquen, H., Goin, G., Natale, C., Bonnet, P. M., & Avaro, J. P. (2014). [Catamenial pneumothorax: easy to see, difficult to manage]. Revue De Pneumologie Clinique, 70(3), 127-32. https://doi.org/10.1016/j.pneumo.2013.09.004
Beranger F, et al. [Catamenial Pneumothorax: Easy to See, Difficult to Manage]. Rev Pneumol Clin. 2014;70(3):127-32. PubMed PMID: 24210156.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Catamenial pneumothorax: easy to see, difficult to manage]. AU - Beranger,F, AU - de Lesquen,H, AU - Goin,G, AU - Natale,C, AU - Bonnet,P-M, AU - Avaro,J-P, Y1 - 2013/11/05/ PY - 2012/10/24/received PY - 2013/09/10/revised PY - 2013/09/23/accepted PY - 2013/11/12/entrez PY - 2013/11/12/pubmed PY - 2015/2/20/medline KW - Catamenial pneumothorax KW - Chirurgie KW - Hormonal therapy KW - Pneumothorax cataménial KW - Surgery KW - Traitement hormonal SP - 127 EP - 32 JF - Revue de pneumologie clinique JO - Rev Pneumol Clin VL - 70 IS - 3 N2 - INTRODUCTION: Catamenial pneumothorax (PNO) is a real clinical occurrence. Several cases are reported in the literature as a spontaneous PNO occurring during the catamenial period among women in their thirties. There is no consensus about management and the recurrence rate is very high whatever the initial treatment. PATIENTS AND METHODS: Among 310 cases of spontaneous PNO operated in our institution in 10 years, we identified five cases of catamenial PNO. A retrospective study of these cases was used to study the initial operating data, including the existence of intrathoracic lesions and the choice of technique of pleurodesis. Patient follow-up was clinically and radiologically. Adjuvant hormonal therapies, recurrence of PNO and treatment modalities have been studied. RESULTS: These five patients of average age 37.6 years (37,38) who had 2.6 (2.3) episodes of right catamenial PNO before hospitalization in surgery department. No patient was smoker. Two of them had a known thoracic or pelvic endometriosis. The initial surgery was video assisted thoracic surgery with a parietal pleurectomy and twice a mesh upon the diaphragm. There were no immediate postoperative complications, and the average length of stay was 6.6 days (5.9). Two patients had adjuvant hormonal therapy. All patients had at least one recurrence and three of them had redo surgery. CONCLUSION: The diagnosis of catamenial PNO must be mentioned in any woman who has a spontaneous pneumothorax right in catamenial period. Endometriosis should be systematically sought. A standardized therapeutic approach to establish the role of surgery and the most appropriate technique as well as the appropriateness and duration of peroperative hormonal therapy remains to be defined. SN - 1776-2561 UR - https://www.unboundmedicine.com/medline/citation/24210156/[Catamenial_pneumothorax:_easy_to_see_difficult_to_manage]_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0761-8417(13)00158-2 DB - PRIME DP - Unbound Medicine ER -