VATS treatment for catamenial pneumothorax

Dario Familiari, Rossana Rizzo, Elena Valenti, F Nunnari, Michele Sibilio, Rosario Marando, Giancarlo Pino, Francesco Monaco
In: Chirurgia · 2025 · vol. 38(5) · doi:10.23736/s0394-9508.24.05735-8 · W4415298625
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This case report describes a 35-year-old woman treated with video-assisted thoracic surgery (VATS) for recurring catamenial pneumothorax, successfully removing diaphragmatic fenestrations and apical blebs.

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Abstract

Catamenial pneumothorax (CP) is a rare entity of spontaneous, recurring pneumothorax in women during menstruation. We aim to discuss the etiology, clinical course, and surgical treatment of a 35-year-old woman with CP. This patient had right sided recurring spontaneous pneumothorax after two days the onset of menses. Videothoracoscopy (video-assisted thoracic surgery [VATS]) revealed diaphragmatic fenestrations and blebs in the apex of the lung without evidence of endometriosis. Fenestrations and blebs were removed with stapler. At 6-month follow-up, she did not present new episodes of pneumothorax.
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JOURNAL TOOLS | | Journal policies | | Publishing options | | eTOC | | To subscribe | | Submit an article | | Recommend to your librarian | ARTICLE TOOLS | | Publication history | | Reprints | | Permissions | | Cite this article as | | Share | YOUR ACCOUNT YOUR ORDERS SHOPPING BASKET Items: 0 Total amount: € 0,00 HOW TO ORDER YOUR SUBSCRIPTIONS YOUR ARTICLES YOUR EBOOKS COUPON ACCESSIBILITY CASE REPORT Chirurgia 2025 October;38(5):353-4 DOI: 10.23736/S0394-9508.24.05735-8 Copyright © 2024 EDIZIONI MINERVA MEDICA language: English VATS treatment for catamenial pneumothorax Dario FAMILIARI ✉, Rossana RIZZO, Elena VALENTI, Flavia NUNNARI, Michele SIBILIO, Rosario MARANDO, Giancarlo PINO, Francesco MONACO Department of Thoracic Surgery, G. Martino Hospital, University of Messina, Messina, Italy Catamenial pneumothorax (CP) is a rare entity of spontaneous, recurring pneumothorax in women during menstruation. We aim to discuss the etiology, clinical course, and surgical treatment of a 35-year-old woman with CP. This patient had right sided recurring spontaneous pneumothorax after two days the onset of menses. Videothoracoscopy (video-assisted thoracic surgery [VATS]) revealed diaphragmatic fenestrations and blebs in the apex of the lung without evidence of endometriosis. Fenestrations and blebs were removed with stapler. At 6-month follow-up, she did not present new episodes of pneumothorax. KEY WORDS: Catamenial pneumothorax; Thoracic surgery, video-assisted; Case reports

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endometriosis

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