Thoracic endometriosis and catamenial pneumothorax

Antonio Bobbio, Vincent De Pauw, Imane Lefqih, Antoine Sion, Marco Alifano
In: Rare Diseases of the Respiratory System · 2023 · doi:10.1183/2312508x.10019322 · W4381331101
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This paper explores thoracic endometriosis and catamenial pneumothorax in women, highlighting the diaphragm as a migration route and the importance of surgical diagnosis and a combined treatment approach.

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Abstract

Although thoracic endometriosis is a rare disease, it is not uncommon in women of child-bearing age presenting with spontaneous pneumothorax. Other less frequent endometriosis-related conditions are pleural effusion including haemothorax, pulmonary and tracheobronchial implants, diaphragmatic hernia and chronic thoracic pain; when they arise during menses, these manifestations are referred to as catamenial. The principal pathway of endometriosis migration from the abdomen and into the thorax is through the right diaphragm, giving rise to a predominance of signs and symptoms on the right thoracic side; through the same route, the air could pass into the pleura. Imaging varies with the hormonal cycle, and the patient's gynaecological history is crucial for diagnosis. Formal diagnosis of endometriosis is almost always obtained at surgery by exploration of the extended pleura and excision of all visible lesions. A combined surgical and medical approach is necessary to control the disease. Cite as: Bobbio A, de Pauw V, Lefqih I, et al. Thoracic endometriosis and catamenial pneumothorax. In: Wagner TOF, Humbert M, Wijsenbeek M, et al., eds. Rare Diseases of the Respiratory System (ERS Monograph). Sheffield, European Respiratory Society, 2023; pp. 320–330 [https://doi.org/10.1183/2312508X.10019322].

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Condition tags

endometriosisthoracic_endometriosis

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (36)

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