Catamenial pneumothorax: a case report

E. Сhandra, C.S. Mahendran, A. Gupta
In: CARDIOMETRY · 2023 · pp. 1426–1428 · doi:10.18137/cardiometry.2022.25.14261428 · W4367335969
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This case report details the diagnosis and multidisciplinary management of recurrent catamenial pneumothorax in a 35-year-old female with a history of uterine endometriosis.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-11 · read from full text ⓘ

This paper is a case report of a 35-year-old non-smoker woman with known uterine endometriosis who developed catamenial pneumothorax, characterized by chest pain and breathlessness that occurred in relation to menstrual/ovulatory timing. The authors describe initial management with a chest tube and hormonal therapy, with the patient experiencing recurrence after three months, followed by surgical treatment using VATS and pleurodesis, after which she recovered without complications. The paper explicitly frames catamenial pneumothorax as extremely rare and notes that management may involve hormonal therapy, chest tube insertion, surgery, or combinations. This paper is centrally about endometriosis — it links catamenial pneumothorax primarily to pleural endometriosis and reports a case in a patient with uterine endometriosis.

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Abstract

Introduction- Catamenial pneumothorax, an extremely rare condition, is defined as the accumulation of air in the pleural cavity occurring in conjunction with menstrual periods and during ovulation. It accounts in only 3- 6 %. This is primarily caused by endometriosis of pleura. It is seen in 30- 40 years aged women. Case report- A 35-year-old non-smoker female came to OPD in the department of Respiratory Medicine with complaints of chest pain, breathlessness with dry cough with history of uterine endometriosis. She underwent investigations and diagnosed as a case of pleural endometriosis and managed conservatively. She came with recurrence after 3 months and treated surgically. Discussion- Patient initially was managed with chest tube insertion and hormonal therapy. Later on she had recurrence so she underwent VATS and pleurodesis and recovered well with no complications. Conclusion- Catamenial pneumothorax is a very rare condition which has multidisciplinary management i.e. can be managed by hormonal therapy, chest tube insertion, surgery or in combination.
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Catamenial pneumothorax: a case report Abstract Introduction- Catamenial pneumothorax, an extremely rare condition, is defined as the accumulation of air in the pleural cavity occurring in conjunction with menstrual periods and during ovulation. It accounts in only 3- 6 %. This is primarily caused by endometriosis of pleura. It is seen in 30- 40 years aged women. Case report- A 35-year-old non-smoker female came to OPD in the department of Respiratory Medicine with complaints of chest pain, breathlessness with dry cough with history of uterine endometriosis. She underwent investigations and diagnosed as a case of pleural endometriosis and managed conservatively. She came with recurrence after 3 months and treated surgically. Discussion- Patient initially was managed with chest tube insertion and hormonal therapy. Later on she had recurrence so she underwent VATS and pleurodesis and recovered well with no complications. Conclusion- Catamenial pneumothorax is a very rare condition which has multidisciplinary management i.e. can be managed by hormonal therapy, chest tube insertion, surgery or in combination. Imprint Eshutosh chandra, Mahendran C. S, Akshita Gupta. CATAMENIAL PNEUMOTHORAX: A CASE REPORT. Cardiometry; Issue 25; December 2022; p.1426-1428; DOI: 10.18137/cardiometry.2022.25.14261428; Available from: https://cardiometry.net/issues/no25-december-2022/catamenial-pneumothorax

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endometriosis

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