Pneumoperitoneum associated with catamenial pneumothorax in women with thoracic endometriosis

Christine Rousset‐Jablonski, Jablonski C, Christine Jablonski, Alifano M, Marco Alifano, Jean-François Regnard, Jean‐François Régnard, Regnard JF, Anne Gompel, Gompel A
Fertility and sterility · 2008 · vol. 91(3) , pp. 930.e19–930.e22 · doi:10.1016/j.fertnstert.2008.09.071 · PMID:18976993 · W2048915522
article OA: bronze CC0 ⤵ 18 in-corpus citations
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-07 ⓘ

This paper describes pneumoperitoneum as a rare but potential complication of catamenial pneumothorax, a condition characterized by thoracic endometriosis and recurrent spontaneous pneumothorax synchronized with menstruation.

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Abstract

ObjectiveTo elucidate the pathophysiology of catamenial pneumothorax (CP) due to thoracic endometriosis and support the theory of the transdiaphragmatic passage of air from the genital tract through diaphragmatic perforations caused by endometrial implants.DesignThree case reports.SettingAcademic hospital.Patient(s)Three women with pneumoperitoneum concomitant to CP.Intervention(s)Thoracic/abdominal computed tomography scans and chest x-rays.Main outcome measure(s)Presence of pneumoperitoneum coexisting with CP.Result(s)The observation of pneumoperitoneum associated with CP supports the theory of the transdiaphragmatic passage of air, which implies the occurrence of a pneumoperitoneum as an intermediate step.Conclusion(s)Our three cases strongly support the theory of the transdiaphragmatic passage of air in the pathogenesis of CP.

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Condition tags

endometriosisthoracic_endometriosis

MeSH descriptors

Diaphragm Endometriosis Menstrual Cycle Pneumoperitoneum Pneumothorax Thoracic Diseases Adult Androgen Antagonists Androgen Antagonists Combined Modality Therapy Diaphragm Diaphragm Diaphragm Endometriosis Endometriosis Endometriosis Female Humans Pneumonectomy Pneumoperitoneum

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 (17)

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