Pneumotoraks Katamenial: Patofisiologi, Diagnosis, dan Tata Laksana

Angelina Patricia Chandra, Reynardi Larope Sutanto, Averiell Larope Sutanto
In: Cermin Dunia Kedokteran · 2024 · vol. 51(8) , pp. 452–455 · doi:10.55175/cdk.v51i8.1125 · W4401459089
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This paper reviews catamenial pneumothorax, a rare condition in reproductive-aged women associated with thoracic endometriosis, covering its pathophysiology, diagnosis via history, imaging, and laparoscopy, and management with pleural drainage, surgery, and hormonal therapy.

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The paper reviews catamenial pneumothorax, a rare form of thoracic endometriosis syndrome in women of reproductive age, focusing on pathophysiology, diagnosis, and management, and describing that episodes occur around menstruation, often in the context of recurrent pneumothorax plus histories such as pelvic surgery, menstrual pain, and infertility. It states that diagnosis relies on comprehensive history and radiologic evaluation, with video laparoscopy as the definitive diagnostic method. Management is described as initial symptomatic pleural drainage, followed by minimally invasive operative therapy and post-initial hormonal therapy for 6–12 months, while noting that recurrence remains problematic and prognosis/overall impact are not fully understood. This paper is centrally about endometriosis—specifically catamenial pneumothorax as a manifestation within thoracic endometriosis syndrome.

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Abstract

Pneumotoraks katamenial adalah kondisi langka yang termasuk dalam spektrum thoracic endometriosis syndrome (TES), yaitu wanita usia reproduksi mengalami episode pneumotoraks spontan yang terjadi sekitar saat menstruasi. Meskipun jarang, perlu dicurigai pada kasus pneumotoraks berulang disertai riwayat operasi panggul, nyeri haid, dan infertilitas. Diagnosis mencakup anamnesis lengkap, pemeriksaan radiologis, serta video laparoskopi sebagai metode diagnostik definitif. Tata laksana melibatkan manajemen simtomatis drainase pleura, diikuti terapi operatif minimal invasif dan terapi hormonal selama 6-12 bulan setelah manajemen awal. Rekurensi pneumotoraks katamenial tetap menjadi masalah, dan prognosis serta dampaknya belum sepenuhnya dipahami.
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Catamenial Pneumothorax: Pathophysiology, Diagnosis, and Management DOI: https://doi.org/10.55175/cdk.v51i8.1125Keywords: Diagnosis, menstrual, catamenial pneumothorax, treatment, womenAbstract Catamenial pneumothorax is a rare condition in the spectrum of thoracic endometriosis syndrome (TES), women of reproductive age experience spontaneous pneumothorax episodes that occur around the time of menstruation. Although infrequent, cases of recurrent pneumothorax accompanied by a history of pelvic surgery, menstrual pain, and infertility should raise clinical suspicion. Diagnosis involves a comprehensive history, radiological examination, and video laparoscopy as the definitive diagnostic method. Management includes symptomatic management with pleural drainage, followed by minimally invasive operative therapy and hormonal therapy for 6-12 months post-initial management. The recurrence of catamenial pneumothorax remains a problem, and its prognosis and impact are not yet fully understood. Downloads References Ciriaco P, Muriana P, Carretta A, Ottolina J, Candiani M, Negri G. Catamenial pneumothorax as the first expression of thoracic endometriosis syndrome and pelvic endometriosis. J Clin Med. 2022;11(5):1200. DOI: 10.3390/jcm11051200. Furuta C, Yano M, Numanami H, Yamaji M, Taguchi R, Haniuda M. Nine cases of catamenial pneumothorax: A report of a single-center experience. J Thorac Dis. 2018;10(8):4801-5. DOI: 10.21037/jtd.2018.07.39. Visouli AN, Darwiche K, Mpakas A, Zarogoulidis P, Papagiannis A, Tsakiridis K, et al. Catamenial pneumothorax: A rare entity? Report of 5 cases and review of the literature. J Thorac Dis. 2012;4 Suppl 1(Suppl 1):17-31. DOI: 10.3978/j.issn.2072-1439.2012.s006. Rousset-Jablonski C, Alifano M, Plu-Bureau G, Camilleri-Broet S, Rousset P, Regnard JF, et al. Catamenial pneumothorax and endometriosis-related pneumothorax: clinical features and risk factors. Human Reproduction 2011;26(9):2322–9. DOI: 10.1093/humrep/der189. Marjański T, Sowa K, Czapla A, Rzyman W. Catamenial pneumothorax - A review of the literature. Kardiochir Torakochirurgia Pol. 2016;13(2):117-21. DOI: 10.5114/kitp.2016.61044. Bagan P, Le Pimpec Barthes F, Assouad J, Souilamas R, Riquet M. Catamenial pneumothorax: Retrospective study of surgical treatment. Ann Thorac Surg. 2003;75:378 –81; discusssion 381. DOI: 10.1016/s0003-4975(02)04320-5. Alifano M, Roth T, Broet SC, Schussler O, Magdeleinat P, Regnard JF. Catamenial pneumothorax: A prospective study. Chest 2003;124:1004–8. DOI: 10.1378/chest.124.3.1004. Nezhat C, Lindheim SR, Backhus L, Vu M, Vang N, Nezhat A, et al. Thoracic endometriosis syndrome: A review of diagnosis and management. JSLS. 2019;23(3):e2019.00029. DOI: 10.4293/JSLS.2019.00029. Korom S, Canyurt H, Missbach A, Schneiter D, Kurrer MO, Haller U, et al. Catamenial pneumothorax revisited: Clinical approach and systematic review of the literature. J Thorac Cardiovasc Surg. 2004;128:502–8. DOI: 10.1016/j.jtcvs.2004.04.039. Roth T, Alifano M, Schussler O, Magdaleinat P, Regnard JF. Catamenial pneumothorax: Chest X-ray sign and thoracoscopic treatment. Ann Thorac Surg. 2002;74(2):563-5. DOI: 10.1016/s0003-4975(02)03702-5. Joseph-Vempilly J, Maldonado F, Finlay G. Clinical features, diagnostic approach, and treatment of adults with thoracic endometriosis [Internet]. Massachusetts: Wolter Kluwer UpToDate; 2023 Jun 27 [cited 2023 Oct 15]. Available from: https://www.uptodate.com/contents/clinical-featuresdiagnostic-approach-and-reatment-of-adults-with-thoracic-endometriosis. Konsil Kedokteran Indonesia. Standar nasional pendidikan profesi dokter Indonesia. 2019. Okyere I, Glover PSK, Forson PK, Okyere P, Blood-Dzraku D. Catamenial pneumothorax in Ghana: Case report and literature review. Pan Afr Med J. 2019;33:287. DOI: 10.11604/pamj.2019.33.287.14187. Fukuda S, Hirata T, Neriishi K, Nakazawa A, Takamura M, Izumi G, et al. Thoracic endometriosis syndrome: Comparison between catamenial pneumothorax or endometriosis-related pneumothorax and catamenial hemoptysis. Eur J Obstet Gynecol Reprod Biol. 2018;225:118-23. DOI: 10.1016/j.ejogrb.2018.04.021. Dharmawan T, Chandra TM, Hestiantoro A, Harahap AS. Thoracic endometriosis in right diaphragm with manifestation of right chest pain and right pneumothorax. J Indon Med Assoc [Internet]. 2023;73(4):199-205. Available from: https://doi.org/10.47830/jinma-vol.73.4-2023-1169. Kardaman N, Nizami M, Marciniak S, Hogan J, Aresu G. Catamenial pneumothorax. Ann R Coll Surg Engl. 2022 Apr;104(4):e109-e12. DOI: 10.1308/rcsann.2021.0164. Marjański T, Sowa K, Czapla A, Rzyman W. Catamenial pneumothorax - A review of the literature. Kardiochir Torakochirurgia Pol. 2016 Jun;13(2):117-21. DOI: 10.5114/kitp.2016.61044 Downloads Published How to Cite Issue Section License Copyright (c) 2024 Angelina Patricia Chandra, Reynardi Larope Sutanto, Averiell Larope Sutanto This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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