Catamenial pneumothorax: multidisciplinary minimallyinvasive management of a recurrent case

Cihan Kaya, Derya Ece Ilıman, Gün Murat Eyüboğlu, Ece Bahçeci
In: Polish Journal of Cardio-Thoracic Surgery · 2020 · vol. 17(2) , pp. 107–109 · doi:10.5114/kitp.2020.97274 · PMID:32728375 · PMC7379218 · W3044484608
article OA: gold CC0 ⤵ 3 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This paper describes the multidisciplinary minimally invasive management of a recurrent case of catamenial pneumothorax, a common presentation of thoracic endometriosis syndrome occurring within 72 hours of menses.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 ⓘ

This letter reports a 36-year-old primiparous woman with recurrent catamenial pneumothorax, described as the most common presentation of thoracic endometriosis syndrome, whose symptoms (cyclic hemoptysis and persistent right shoulder pain) continued despite multiple hormonal and pleurodesis treatments. Using minimally invasive, multidisciplinary surgery, they performed operative laparoscopy for pelvic/diaphragmatic endometriosis (including ureterolysis, excision of endometriotic nodules, and right salpingo-oophorectomy with diaphragmatic peritoneal resection) and video-assisted thoracoscopy to identify and remove a 6×5 cm pleural nodule and a suspicious lower-lung lesion via wedge resection. The postoperative course was uneventful, and 6 months of GnRH analogue therapy was planned to reduce recurrence, with the case constrained by its single-patient nature and lack of recurrence outcomes beyond the immediate report. This paper is centrally about endometriosis — it focuses on catamenial pneumothorax within thoracic endometriosis syndrome and describes coordinated laparoscopic and thoracoscopic removal of endometriotic lesions driving the recurrent condition.

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Abstract

Thoracic endometriosis syndrome (TES) is the presence of endometriotic foci within the respiratory system and involves a range of symptoms that coincide with the menses. These symptoms are defined as the presence of pneumothorax, hemothorax, hemoptysis, lung nodules, isolated chest pain, and pneumomediastinum. Catamenial pneumothorax (CP) is described as recurrent abnormal air collection between the lung and chest wall that occurs within the first 72 hours of the menses and is the most common presentation of TES [1].

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endometriosisthoracic_endometriosis

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