Thoracic Endometriosis Complicated by Catamenial Pneumothorax: A Clinical Case

M. B. Koval, M. G. Askerova, A. O. Maltseva, E. S. Pushkareva
In: Ural Medical Journal · 2026 · vol. 25(1) , pp. 64–74 · doi:10.52420/umj.25.1.64 · W7133193705
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case report details a rare instance of thoracic endometriosis presenting as recurrent catamenial pneumothorax in a 34-year-old patient, highlighting diagnostic challenges and treatment limitations.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 ⓘ

The paper describes a rare clinical case of thoracic endometriosis with lung involvement in a 34-year-old woman, presenting as catamenial pneumothorax (with mention that such forms can be life-threatening). Using medical documentation and results of comprehensive laboratory and instrumental examinations, the authors analyze the patient’s subjective complaints, objective findings, diagnostic data, and both conservative and surgical treatment approaches. They conclude that the case highlights diagnostic difficulties and limitations of standard therapy in recurrent catamenial pneumothorax. This paper is centrally about endometriosis — it specifically reports a case of thoracic endometriosis complicated by catamenial pneumothorax.

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Abstract

Introduction . Thoracic endometriosis is a rare and insufficiently studied form of extrapelvic endometriosis. A lack of awareness among physicians in non-gynecological specialties leads to delayed diagnosis and inappropriate management. The disease can present with life-threatening conditions, including catamenial pneumothorax and hemoptysis, which significantly impair the quality of life for patients of reproductive age. Currently, there are no unified clinical guidelines for the optimal management of these patients, necessitating the accumulation and dissemination of clinical experience. Aim is to describe a rare clinical case of thoracic endometriosis with lung involvement in a 34-year-old patient, presenting as catamenial pneumothorax. Materials and methods . Medical documentation was used, including specialists’ reports and data from comprehensive laboratory and instrumental examinations of the patient. Results and discussion . A detailed analysis of a clinical case of thoracic endometriosis was conducted. The patient’s subjective complaints, objective symptoms, diagnostic methods, and features of conservative and surgical treatment were examined. Conclusion . This paper describes a rare case of thoracic endometriosis with recurrent catamenial pneumothorax, illustrating significant diagnostic challenges and the limitations of standard therapy. This example highlights the systemic nature of endometriosis and the need for a multidisciplinary approach to individualize treatment and provide dynamic follow-up for patients.

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Condition tags

endometriosisthoracic_endometriosis

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (17)

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