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
Case report 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

OBJECTIVE: To 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. DESIGN: Three case reports. SETTING: Academic 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 Menstrual Cycle Pneumoperitoneum Pneumothorax Thoracic Diseases Adult Adult Androgen Antagonists Androgen Antagonists Androgen Antagonists Combined Modality Therapy Combined Modality Therapy Diaphragm Diaphragm Diaphragm Diaphragm Endometriosis Endometriosis

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (17)

Cited by (14)

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