Bilateral Catamenial pneumothorax with Catamenial Hemoptysis

Bilateral catamenial pneumothorax coexisted with catamenial hemoptysis is a rare entity. It is usually caused by thoracic endometriosis syndrome. We report a case 24 year healthy female with no comorbid status presenting with bilateral catamenial pneumothorax with catamenial hemoptysis. This lady presented with breathlessness, bilateral chest pain and streaky hemoptysis for four months associated with her menstrual cycle. Chest x ray and CT chest done showed bilateral pneumothorax. Serum CA 125 levels was elevated. USG pelvis done was normal. Bronchoscopy was done in view of hemoptysis showed bilateral inflamed mucosa no active bleeding. Videothoracoscopy was done showed multiple nodules over the diaphragm, biopsy taken from that nodules following biopsy, diaphragmatic meshplasty and talc pleurodesis was done. To prevent the recurrence patient was started on hormonal therapy. Patient improved clinically and radiologically and no recurrence till one year of followup.