Catamenial pneumothorax – case reports and literature review

Czech version

Authors: E. Voláková ¹; V. Kolek ¹; J. Kufa ¹; J. Zatloukal ¹; J. Chudáček ²; M. Szkorupa ²; R. Pilka ³
Authors‘ workplace: Klinika plicních nemocí a tuberkulózy FN a LF UP, Olomouc, přednosta prof. MUDr. V. Kolek, DrSc. ¹; I. chirurgická klinika FN a LF UP, Olomouc, přednosta prof. MUDr. Č. Neoral, CSc. ²; Porodnicko-gynekologická klinika FN a LF UP, Olomouc, přednosta prof. MUDr. R. Pilka, Ph. D. ³
Published in: Ceska Gynekol 2017; 82(4): 308-312

Overview

Aim:
Catamenial pneumothorax is menstrual cycle dependent and represents the most common form of thoracic endometriosis syndrome. Recurrences are very common even after surgical resection.

Design:
Case reports and literature overview.

Setting:
Department of Respiratory Medicine, Department of Surgery I, Department of Obstetrics and Gynecology, University Hospital, Palacky University, Olomouc.

Case report:
Two cases of catamenial pneumothorax are presented with repeated recurrences of right-sided pneumothorax even after surgical treatment. Histopathologic finding of pelvic endometriosis was shown in both patients.

Conclusion:
Catamenial pneumothorax is usually connected with thoracic endometriosis and also includes catamenial hemothorax, recurrent catamenial hemoptysis, catamenial pleural pain as well as endometriosis lung nodules. Multidisciplinary approach including pneumologist, thoracic surgeon and gynecologist with early postoperative hormonal treatment that deals with the main chronic systemic disease may lead to improved results, mainly reduced recurrence rates of catamenial and/or endometriosis related pneumothorax.

Keywords:
recurrent pneumothorax, catamenial, thoracic endometriosis

Sources

1. Alifano, M., Jablonski, C., Kadiri, H., et al. Catamenial and noncatamenial, endometriosis-related or nonendometriosis-related pneumotorax reffered for Surgery. Am J Respir Crit Care Med, 2007, 176, p. 1048.

2. Alifano, M., Roth, T., Broët, SC., et al. Catamenial pneumothorax: a prospective study. Chest, 2003, 124(3), p. 1004–1008.

3. Bagan, P., Berna, P., Assouad, J., et al. Value of cancer antigen 125 for diagnosis of pleural endometriosis in females with recurent pneumothorax. Eur Respir J, 2008, 31, p. 140.

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7. Jubanyik, KJ., Comite, F. Extrapelvic endometriosis. Obstet Gynecol Clin North Am, 1997, 24, p. 411.

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9. Maurer, ER., Schall, JA., Mendez, FL. Chronic recurring spontaneus pneumothorax due to endometriosis of the diaphragm. JAMA, 1958, 168, p. 2013–2014.

10. Rousset-Jablonski, C., Alifano, M., Plu-Bureau, G., et al. Catamenial pneumothorax and endometriosis-related pneumothorax: clinical features and risk factors. Hum Reprod, 2011, 26, p. 2322.

11. Soriano, D., Schonman, R., Gat, I., et al. Thoracic endometriosis syndrome is strongly associated with severe pelvic endometriosis and infertility. J Minim Invasive Gynecol, 2012, 19, p. 742.

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Article was published in

Czech Gynaecology

2017 Issue 4