Catamenial pneumothorax and endometriosis-related pneumothorax: clinical features and risk factors

Christine Rousset-Jablonski, Christine Rousset‐Jablonski, Alifano M, Marco Alifano, Plu-Bureau G, Geneviève Plu‐Bureau, Geneviève Plu-Bureau, Sophie Camilleri‐Broët, Camilleri-Broet S, Sophie Camilleri-Broet, Rousset P, Pascal Rousset, Regnard JF, Jean-François Regnard, Jean François Régnard, Anne Gompel, Gompel A
Human Reproduction · 2011 · vol. 26(9) , pp. 2322–2329 · doi:10.1093/humrep/der189 · PMID:21685141 · W2097777672
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This study identified infertility and uterine procedures as significant predictors of catamenial or endometriosis-related pneumothorax, and found that recurrent thoracic or scapular pain during menses often precedes the condition.

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Abstract

BACKGROUND: Catamenial pneumothorax and thoracic endometriosis (TE) are still under diagnosed. The purpose of this study is to increase the diagnostic accuracy for these conditions in patients with spontaneous pneumothorax and to identify their risk factors. METHODS: We conducted a retrospective study on all consecutive women of reproductive age referred to our Centre for surgical treatment of spontaneous pneumothorax between July 2000 and January 2009. RESULTS: The study population comprised 156 premenopausal women of whom 49 (31.4%) had catamenial and/or TE-related pneumothorax. Over a quarter of these 49 patients had a previous history of recurrent thoracic or scapular catamenial pain. They experienced their first pneumothorax episode at an older age (mean ± SD) (34.0 years ± 6.7) than women with idiopathic pneumothorax (28.7 ± 6.1 years, P < 0.001). Pelvic endometriosis was found in 51% of women with catamenial and/or TE-related pneumothorax. After adjustment for confounding factors by multiple logistic regression analysis, the results show that, infertility [odd ratio (OR) = 4.21, 95% confidence interval (CI) = 1.28-13.88] and a history of pelvic surgery with a uterine procedure and/or uterine scraping (OR = 2.85, 95% CI = 1.12-7.26) were the strongest predictors of catamenial and/or TE-related pneumothorax. CONCLUSIONS: Infertility and uterine procedures are significantly associated with catamenial and/or TE-related pneumothorax. Scapular or thoracic pain during menses often precedes the occurrence of pneumothorax and is highly specific for the diagnosis of TE. Our results suggest that in women with pelvic endometriosis, these symptoms should be systematically investigated for an earlier diagnosis of TE.

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Condition tags

endometriosisthoracic_endometriosisinfertility

MeSH descriptors

Endometriosis Pneumothorax Adult Adult Endometriosis Endometriosis Endometriosis Endometriosis Female Female Humans Humans Infertility, Female Infertility, Female Infertility, Female Pneumothorax Pneumothorax Pneumothorax Pneumothorax Pneumothorax

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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 ]

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Cited by (50)

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