Bilateral catamenial pneumothorax
Case report
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⤵ 23 in-corpus citations
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This paper reports a rare case of bilateral catamenial pneumothorax in a 32-year-old woman, treated with pleurodesis and later hysterectomy with bilateral salpingo-oophorectomy.
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Abstract
Bilateral catamenial pneumothorax occurred in a 32-year-old parous woman. The 41 previously reported cases of catamenial pneumothorax occurred on the right side. This patient was treated with left-sided pleurodesis and, subsequently, with hysterectomy and bilateral salpingo-oophorectomy. The pathologic mechanism of this peculiar syndrome has been attributed to reflux of air via the genitalia and fenestrations in the diaphragm, menstrual shedding of endometrial cells growing in the visceral pleura, or, possibly, aveolar tissue damage secondary to vascular and bronchiolar spasm resulting from dinoprost tromethamine released from menstrual debris. Treatment needs to be tailored to fit the individual patient's specific pelvic and intrathoracic pathology and procreative desires.
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Cited by (20)
- Stromal-only endometriosis catamenial pneumothorax: A diagnostic algorithm with potential pitfalls 2026
- Don’t intubate women with pneumothorax. Surgery with music and muse 2020
- Case report: catamenial pneumothorax 2019
- Left-sided Catamenial Pneumothorax: A Rare Clinical Entity 2018
- Clinical characteristics of catamenial and non-catamenial thoracic endometriosis-related pneumothorax 2015
- Long-Term Hormonal Treatment for Recurrent Catamenial Pneumothorax 2011
- [Catamenial pneumothorax with diaphragmatic lacerations] 2010
- [Pneumothorax in women and thoracic endometriosis] 2008
- Endométriose thoracique 2008
- Catamenial pneumothorax: a gynaecologists' view point 2008
- Life-threatening endometriosis-related hemopneumothorax 2006
- Bilateral pleural endometriosis 2006
- Thoracic endometriosis: current knowledge 2006
- Catamenial pneumothorax revisited: clinical approach and systematic review of the literature 2004
- Catamenial pneumothorax and other thoracic manifestations of endometriosis 2004
- Anesthetic implications of thoracic endometriosis 2002
- Thoracic endometriosis syndrome: new observations from an analysis of 110 cases 1996
- Thoracic endometriosis. Recurrence following hysterectomy with bilateral salpingo-oophorectomy and successful treatment with talc pleurodesis 1994
- Pulmonary endometriosis 1985
- Catamenial pneumothorax in sisters 1981
Source provenance
- openalex
- last seen: 2026-06-04T00:00:01.174412+00:00
- pubmed
- last seen: 2026-10-08T21:59:43.143194+00:00
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