Pneumotórax catamenial: uma apresentação atípica de endometriose

Alexandra Miranda, Cristina Nogueira‐Silva, Catia Lia Abreu, João Pedro Jordão Bentes Cabrita, Jacinto Jardim
2016 · W2793664786
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⚙ AI-generated summary by qwen3.7-flash, 2026-10-09 ⓘ

A 38-year-old woman with recurrent catamenial pneumothorax and respiratory symptoms without pelvic endometriosis evidence achieved clinical remission following gonadotropin-releasing hormone agonist therapy, confirming thoracic endometriosis.

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This book chapter describes an atypical case of catamenial pneumothorax, a condition characterized by recurrent spontaneous air in the pleural space that coincides with menstruation. The authors present the clinical presentation and diagnostic challenges associated with this rare manifestation, highlighting its occurrence outside the typical thoracic endometriosis spectrum. The text emphasizes the importance of recognizing this condition as a specific form of extragenital endometriosis to ensure appropriate management. This paper is centrally about endometriosis — specifically describing catamenial pneumothorax as an atypical thoracic presentation of the disease.

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Abstract

A endometriose torácica representa uma manifestação rara de endometriose, devendo ser considerada nas mulheres em idade reprodutiva que se apresentam com dor torácica, pneumotórax, hemotórax ou hemoptises coincidentes com a menstruação. Reportamos o caso clínico de uma mulher de 38 anos com dor torácica repetitiva e progressiva durante o cataménio, acompanhada de dispneia moderada e tosse não produtiva, com 4 anos de evolução. Foram confrmados imagiologicamente pneumotórax catameniais de repetição. Não obstante a ausência de evidência clínica de endometriose pélvica, estabeleceu-se como diagnóstico provável o pneumotórax catamenial associado a endometriose pleuro-pulmonar. Decidiu-se iniciar terapêutica com um agonista da hormona libertadora de gonadotrofnas, tendo-se verifcado remissão clínica dos sintomas respiratórios. A endometriose torácica é uma forma grave de apresentação da doença, requerendo o seu diagnóstico um grande índice de suspeição.
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Skip to main content Book part Open access Final publisher's version Pneumotórax catamenial: uma apresentação atípica de endometriose Author(s) Miranda, Alexandra Sofia Lopes Silva, Cristina Isabel Nogueira Abreu, Catia Lia Cabrita, João Pedro Jordão Bentes Pena, Domingos Jardim da Files 70 anos_excelencia_clinica_novos.pdf (604.13 KB) Version Version of Record (VoR) Embargo Document Type Book part Language Collections ICVS - Livros e capítulos de Livros | Books and book chapters Loading... Full item page

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