Nadir görülen bir pnömotoraks olgusu: katamenial pnömotoraks

Hasan Yavuz, Ayşegül Çevik Ergönül, Tevfik İlker Akçam, Ufuk Çağırıcı
In: Ege Tıp Dergisi · 2022 · vol. 61(2) , pp. 302–305 · doi:10.19161/etd.1127892 · W4282598491
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This case report describes a 38-year-old female treated with video-assisted thoracoscopic surgery for recurrent pneumothorax, revealing diaphragmatic pleural endometriosis lesions that were resected, resulting in no recurrence during a 2-year follow-up.

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This paper is a case report describing a rare pneumothorax presentation characterized as catamenial pneumothorax, framed as an episodic occurrence linked to the menstrual cycle. It presents the clinical context of the patient and the diagnostic and management course typical of a low-frequency thoracic presentation. The authors highlight the diagnostic challenge of distinguishing this entity from other causes of pneumothorax, as reflected in the case-based nature of the report and reliance on a single patient’s experience. This paper is centrally about endometriosis — it discusses catamenial pneumothorax as a manifestation of thoracic endometriosis/diaphragmatic endometriosis.

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Abstract

Endometriozis, uterus dışında endometrial glandlar ve stromanın bulunması olarak tanımlanır. Endometriozisin pulmoner tutulumu da görülebilmekte olup, en sık katamenial pnömotoraks kliniğiyle karşımıza çıkar. Çalışmamızda 38 yaşında nüks pnömotoraks nedeni ile opere edilen kadın hasta sunuldu. Cerrahi tedavi amacıyla videotorakoskopik cerrahi ile akciğer rezeksiyonu yapılan olguda diafragmatik plevrada endometriozise bağlı olduğu düşünülen lezyonlar saptandı. Pnömotoraksa sebebiyet verdiği düşünülen bu lezyonlar videotorakoskopik cerrahi ile tedavi edildi ve hastanın 2 yıllık takibinde rekürrens saptanmadı. Endometrozisli hastalarda pnömotoraks geliştiğinde katamenial pnömotoraks akılda bulundurulmalı, nüks gelişmesi durumunda ise videotorakoskopik cerrahi ile tanı ve tedavide başarı sağlanabileceği unutulmamalıdır.
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Nadir görülen bir pnömotoraks olgusu: katamenial pnömotoraks Öz Anahtar Kelimeler Kaynakça - Hwang S.M., Lee C.W., Lee B.S. Clinical features of thoracic endometriosis: a single center analysis. Obstet. Gynecol. Sci. 2015; 58: 223–31. - Pankratjevaite L, Samiatina-Morkuniene D. A case report of thoracic endometriosis – A rare cause of haemothorax. Int J Surg Case Rep. 2017; 33: 139-42. - Alifano M, Venissac N, Mouroux J. Recurrent pneumothorax associated with thoracic endometriosis. Surg Endosc. 2000; 14: 680. - Elia S, De Felice L, Varvaras D, Sorrenti G, Mauriello A, Petrella G. Catamenial pneumothorax due to solitary localization of diaphragmatic endometriosis. Int J Surg Case Rep. 2015; 12: 19-22. - Haga T, Kataoka H, Ebana H, et al. Thoracic endometriosis-related pneumothorax distinguished from primary spontaneous pneumothorax in females. Lung. 2014; 192: 58387. - Hagneré P, Deswarte S, Leleu O. Endométriose thoracique: un diagnostic difficile. Rev Mal Respir. 2011; 28: 908–12. - Bagan P, Le Pimpec Barthes F, Assouad J, et al. Catamenial pneumothorax: retrospective study of surgical treatment. Ann Thorac Surg. 2003; 75: 378–81. - Shoaib Z. Junejo, Sandeep Singh Lubana, Sukhdip Singh Shina and Sandeep Singh Tuli A Case of Thoracic Endometriosis Syndrome Presenting with Recurrent Catamenial Pneumothorax, Am J Case Rep. 2018; 19: 573–6. Ayrıntılar Birincil Dil Türkçe Konular Sağlık Kurumları Yönetimi Bölüm Olgu Sunumu Yazarlar Hasan Yavuz * 0000-0001-5641-071X Türkiye Ayşegül Çevik Ergönül 0000-0001-8854-953X Türkiye Tevfik İlker Akçam 0000-0001-7108-9469 Türkiye Ufuk Çağırıcı 0000-0001-7827-793X Türkiye Yayımlanma Tarihi 13 Haziran 2022 Gönderilme Tarihi 22 Nisan 2021 Kabul Tarihi 14 Aralık 2021 Yayımlandığı Sayı Yıl 2022 Cilt: 61 Sayı: 2

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