Catamenial pneumothorax revealing diaphragmatic endometriosis: a case report and revue of literature

Sana Aissa, S. Aîssa, W. Benzarti, Wafa Benzarti, Faouzi Alimi, I. Gargouri, Imen Gargouri, Halima Ben Salem, H. Ben Salem, Amène Aissa, Khadija Fathallah, Atef Ben Abdelkade, R. Alouini, Rafika Alouini, Abdelhamid Garrouche, A. Garrouche, Abdelaziz Hayoun, Ahmed Abdelghani, A. Abdelghani, Mohamed Benzarti, M. Benzarti
The Pan African medical journal · 2017 · vol. 27 , pp. 112 · doi:10.11604/pamj.2017.27.112.8007 · PMID:28819533 · W2624842898
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This case report details a 42-year-old woman with catamenial pneumothorax caused by diaphragmatic endometriosis, successfully treated with VATS resection and hormonal therapy.

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Abstract

Catamenial pneumothorax (CP) is a rare entity of spontaneous, recurring pneumothorax in women. We aim to discuss the etiology, clinical course, and surgical treatment of a 42-year-old woman with CP. This patient had a right-sided spontaneous pneumothoraces occurred one week after menses. She had under-gone video-assisted thoracoscopic surgery (VATS) because of a persistent air leak under chest tube. VATS revealed multiple diaphragmatic fenestrations with an upper right nodule. Defects were removed and a large part of the diaphragm was resected. Pleural abrasion was then performed over the diaphragm. Diaphragmatic endometriosis was confirmed by microscopic examination. Medical treatment with GnRH agonists was prescribed, and after recovery, the patient has been symptoms free for 20 months.

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Condition tags

mesh:D004715endometriosisthoracic_endometriosis

MeSH descriptors

Diaphragm Endometriosis Pneumothorax Adult Diaphragm Diaphragm Endometriosis Endometriosis Endometriosis Female Follow-Up Studies Gonadotropin-Releasing Hormone Gonadotropin-Releasing Hormone Humans Pneumothorax Pneumothorax Pneumothorax Recurrence Thoracic Surgery, Video-Assisted

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 (24)

Cited by (11)

Source provenance

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License: CC0 · commercial use OK