Catamenial pneumotorax as a special form of spontaneous pneumotorax (literature review)
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This review examines spontaneous catamenial pneumothorax, a rare thoracic endometriosis manifestation in women, often recurrent and right-sided, and discusses diagnostic and surgical treatment options including VATS and pleurodesis.
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This literature review examines catamenial pneumothorax as a specific form of spontaneous pneumothorax, drawing on contemporary publications about its clinical features and underlying mechanisms, with emphasis on thoracic endometriosis as a key contributor. The authors synthesize evidence from prior case reports, reviews, and studies of spontaneous pneumothorax and related diagnostic/management approaches, but they do not present new original patient data. A key limitation is that, as a narrative review focused on published literature, its conclusions are constrained by heterogeneity of included reports and variable depth of evidence across topics. Relevance to endometriosis: the paper’s central theme is catamenial pneumothorax linked to thoracic endometriosis, explicitly framed as a special form of spontaneous pneumothorax occurring around menstruation.
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Abstract
Spontaneous pneumothorax is a common (more than 12.5% of all urgent conditions in thoracic surgery) life-threatening condition, statistically more commonly found in men with pulmonary emphysema. However, a rare and difficult diagnostic form of spontaneous pneumothorax that develops in more than 73% of women of reproductive age with thoracic endometriosis is spontaneous catamenial pneumothorax. In the prevailing majority of patients, this pneumothorax turns out to be right-sided and recurrent in more than 70% of cases. The “gold standard” for verification of thoracic endometriosis is the visual inspection of the chest organs and biopsy using video-assisted mini-thoracotomy (VATS). The signs of thoracic endometriosis detected intraoperatively include the identification of fenestrations of the diaphragm, endometriosis of the visceral pleura, bullae of various calibers, cicatricial changes in lung parenchyma, etc. There is no consensus on the tactics of patients´ management, however, the primary importance in the treatment of thoracic endometriosis and spontaneous catamenial pneumothorax as its main manifestation should be given to surgical interventions: suturing diaphragm defects, typical (anatomical) or atypical resection of the lungs in different volumes, pleurodesis to prevent the recurrence of pneumothorax, etc. The most effective pleurodesis methods are chemical pleurodesis with sterile talc, the use of YAG-ND and CO2 lasers. Apical pleurectomy is actively used; various materials (fibrin gel, polyglycolic acid, etc.) are being studied as suture-line coverage to create aerostasis. Along with surgical methods, the use of COCs, analogues of gonadotropin-releasing hormone, danazole, progestins, and aromatase inhibitors minimizes the recurrence of spontaneous pneumothorax in patients with thoracic endometriosis.
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Катамениальный пневмоторакс как особая форма спонтанного пневмоторакса (обзор литературы)
https://doi.org/10.21626/vestnik/2020-2/02
Аннотация
Об авторах
Александр Иванович БежинРоссия
д-р мед. наук, зав. кафедрой оперативной хирургии и топографической анатомии
Ирина Владимировна Литвиненко
Россия
студентка
Анна Андреевна Фисюк
Россия
студентка
Список литературы
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Рецензия
Для цитирования:
Бежин А.И., Литвиненко И.В., Фисюк А.А. Катамениальный пневмоторакс как особая форма спонтанного пневмоторакса (обзор литературы). Курский научно-практический вестник «Человек и его здоровье». 2020;(2):10-15. https://doi.org/10.21626/vestnik/2020-2/02
For citation:
Bezhin A.I., Lytvynenko I.V., Fisyuk A.A. Catamenial pneumotorax as a special form of spontaneous pneumotorax (literature review). Kursk Scientific and Practical Bulletin "Man and His Health". 2020;(2):10-15. (In Russ.) https://doi.org/10.21626/vestnik/2020-2/02
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- Pulmonary Endometriosis: Treatment Tactics via openalex
- [Thoracic endometriosis and catamenial pneumothorax]. via openalex
- [Thoracic endometriosis--the rare pathology in thoracic surgery]. via openalex
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