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A Case of Thoracic Endometriosis Syndrome Presenting with Recurrent Catamenial Pneumothorax.
Am J Case Rep 2018; 19:573-576AJ

Abstract

BACKGROUND

Catamenial pneumothorax (CP) is a spontaneous pneumothorax commonly associated with menstrual periods. Endometrial tissues most commonly involve the pelvic region. However, after the pelvis, the lungs are most frequently involved. Thoracic endometriosis should always be suspected in young women presenting with CP. CASE REPORT A 30-year-old woman with history of endometriosis presented with chief complaint of umbilical pain. A computerized tomography (CT) scan of the abdomen and pelvis was performed, which showed an incidental finding of a large right-sided pneumothorax. Chest X-ray imaging showed 50% pneumothorax. A right-sided chest tube was placed, and after the procedure, a chest X-ray image showed expansion of the right lung. The patient was readmitted for elective resection of an umbilical mass and was again incidentally found to have a recurrent pneumothorax on the right side. She underwent videothoracoscopic pleurodesis with pathology, establishing the diagnosis of catamenial pneumothorax.

CONCLUSIONS

Thoracic endometriosis resulting in catamenial pneumothorax should be suspected in young women of child-bearing age. Treatment options still under debate include endoscopic resection and videothoracoscopic pleurodesis followed by gonadotrophin-releasing hormone (GnRH) therapy to reduce the rate of postoperative recurrence.

Authors+Show Affiliations

Department of Medicine, Icahn School of Medicine at Mount Sinai/ NYC Health + Hospital/Queens, New York, NY, USA.Department of Medicine, Icahn School of Medicine at Mount Sinai/ NYC Health + Hospital/Queens, New York, NY, USA.Department of Medicine, Icahn School of Medicine at Mount Sinai/ NYC Health + Hospital/Queens, New York, NY, USA.Department of Radiology, Icahn School of Medicine at Mount Sinai/ NYC Health + Hospital/Queens, New York, NY, USA.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

29769481

Citation

Junejo, Shoaib Z., et al. "A Case of Thoracic Endometriosis Syndrome Presenting With Recurrent Catamenial Pneumothorax." The American Journal of Case Reports, vol. 19, 2018, pp. 573-576.
Junejo SZ, Singh Lubana S, Shina SS, et al. A Case of Thoracic Endometriosis Syndrome Presenting with Recurrent Catamenial Pneumothorax. Am J Case Rep. 2018;19:573-576.
Junejo, S. Z., Singh Lubana, S., Shina, S. S., & Tuli, S. S. (2018). A Case of Thoracic Endometriosis Syndrome Presenting with Recurrent Catamenial Pneumothorax. The American Journal of Case Reports, 19, pp. 573-576. doi:10.12659/AJCR.907964.
Junejo SZ, et al. A Case of Thoracic Endometriosis Syndrome Presenting With Recurrent Catamenial Pneumothorax. Am J Case Rep. 2018 May 17;19:573-576. PubMed PMID: 29769481.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A Case of Thoracic Endometriosis Syndrome Presenting with Recurrent Catamenial Pneumothorax. AU - Junejo,Shoaib Z, AU - Singh Lubana,Sandeep, AU - Shina,Sukhdip Singh, AU - Tuli,Sandeep Singh, Y1 - 2018/05/17/ PY - 2018/5/18/entrez PY - 2018/5/18/pubmed PY - 2018/10/12/medline SP - 573 EP - 576 JF - The American journal of case reports JO - Am J Case Rep VL - 19 N2 - BACKGROUND Catamenial pneumothorax (CP) is a spontaneous pneumothorax commonly associated with menstrual periods. Endometrial tissues most commonly involve the pelvic region. However, after the pelvis, the lungs are most frequently involved. Thoracic endometriosis should always be suspected in young women presenting with CP. CASE REPORT A 30-year-old woman with history of endometriosis presented with chief complaint of umbilical pain. A computerized tomography (CT) scan of the abdomen and pelvis was performed, which showed an incidental finding of a large right-sided pneumothorax. Chest X-ray imaging showed 50% pneumothorax. A right-sided chest tube was placed, and after the procedure, a chest X-ray image showed expansion of the right lung. The patient was readmitted for elective resection of an umbilical mass and was again incidentally found to have a recurrent pneumothorax on the right side. She underwent videothoracoscopic pleurodesis with pathology, establishing the diagnosis of catamenial pneumothorax. CONCLUSIONS Thoracic endometriosis resulting in catamenial pneumothorax should be suspected in young women of child-bearing age. Treatment options still under debate include endoscopic resection and videothoracoscopic pleurodesis followed by gonadotrophin-releasing hormone (GnRH) therapy to reduce the rate of postoperative recurrence. SN - 1941-5923 UR - https://www.unboundmedicine.com/medline/citation/29769481/A_Case_of_Thoracic_Endometriosis_Syndrome_Presenting_with_Recurrent_Catamenial_Pneumothorax_ L2 - https://www.amjcaserep.com/download/index/idArt/907964 DB - PRIME DP - Unbound Medicine ER -