Catamenial pneumothorax caused by thoracic endometriosis

Paolo Maniglio, Enzo Ricciardi, Federica Meli, Salvatore Giovanni Vitale, Marco Noventa, Amerigo Vitagliano, Gaetano Valenti, Valentina Lucia La Rosa, Antonio Simone Laganà, Donatella Caserta
Radiology case reports · 2017 · vol. 13(1) , pp. 81–85 · doi:10.1016/j.radcr.2017.09.003 · PMID:29552245 · W2762117466
article OA: gold CC0 ⤵ 29 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This case report describes the successful management of a recurring thoracic endometriosis case through thoracoscopic resection followed by gonadotropin-releasing hormone agonist and subsequent Dienogest treatment.

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Abstract

BACKGROUND: Thoracic endometriosis syndrome is a rare form of extrapelvic endometriosis characterized by the presence of functioning endometrial tissue in pleura, lung parenchyma, and airways, associated with a high rate of infertility. CASE REPORT: We have reported a case of successful management and treatment of thoracic endometriosis syndrome that occurred in a 37-year-old female patient. She underwent thoracoscopic resection of the lesion. During follow-up, we revealed the recurrence of a previously surgically treated thoracic endometriosis. She was initially treated with a gonadotropin-releasing hormone agonist; subsequently this was replaced by a prophylactic treatment with Dienogest. CONCLUSION: The diagnosis of thoracic endometriosis is challenging. The first line of treatment is medical, whereas the surgical treatment is performed secondly. Moreover, surgical treatment can lead to a significant rate of recurrence, often reduced by a coadjutant medical treatment.

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Condition tags

endometriosisthoracic_endometriosisinfertility

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.

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