scholarly journals Multi-Loculated Catamenial Pneumothorax: A Rare Complication of Thoracic Endometriosis

Cureus ◽  
2021 ◽  
Author(s):  
Grace Staring ◽  
Fátima Monteiro ◽  
Ivone Barracha ◽  
Rosa Amorim
Keyword(s):  
Rare Complication ◽  
Catamenial Pneumothorax ◽  
Thoracic Endometriosis

Diaphragmatic endometriosis and thoracic endometriosis syndrome: a review on diagnosis and treatment

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Thiers Soares ◽  
Marco Aurelio Oliveira ◽  
Karen Panisset ◽  
Nassir Habib ◽  
Sara Rahman ◽  
...  
Keyword(s):  
Multidisciplinary Treatment ◽  
Posterior Part ◽  
Pulmonary Nodules ◽  
Diagnosis And Treatment ◽  
Childbearing Age ◽  
Invasive Approach ◽  
Catamenial Pneumothorax ◽  
Abdominal Approach ◽  
The One ◽  
Thoracic Endometriosis

Abstract Endometriosis of the diaphragm has been gaining more attention in the practice of gynecologists and thoracic surgeons in recent years. Understanding related symptoms and developing imaging methods have improved their approach. A review of the literature was performed with the aim to report on incidence, diagnosis, treatment and prognosis of diaphragmatic endometriosis. We also cover the issue of the Thoracic Endometriosis Syndrome (TES). Complaints of cyclic chest pain in patients of childbearing age should have as differential diagnosis the presence of thoracic endometriosis. Catamenial pneumothorax is the main manifestation of diaphragmatic endometriosis and Thoracic Endometriosis Syndrome. Other possible manifestations are hemothorax, pulmonary nodules, and diaphragmatic hernia. Despite the possibility of drug treatment, many patients will be submitted to surgical treatment. The minimally invasive approach should be the one of choice. The robotic pathway allows for an easier approach due to its ability to articulate robotic arms, allowing the treatment of lesions in hard-to-reach locations, such as the posterior part of the diaphragm. Multidisciplinary treatment should be used in most cases, as only abdominal approach is not sufficient for the diagnosis and treatment of lesions in the thoracic cavity. The approach of endometriosis of the diaphragm and Thoracic Endometriosis Syndrome should be multidisciplinary, allowing the improvement of quality of life in most patients.

scholarly journals Catamenial pneumothorax with bubbling up on the diaphragmatic defects: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Bo Dong ◽  
Chun-Li Wu ◽  
Yin-liang Sheng ◽  
Bin Wu ◽  
Guan-Chao Ye ◽  
...  
Keyword(s):  
Thoracoscopic Surgery ◽  
Lung Lesion ◽  
Parietal Pleura ◽  
Catamenial Pneumothorax ◽  
Endometrial Cells ◽  
Retrograde Menstruation ◽  
History Of ◽  
The Right ◽  
Thoracic Endometriosis

Abstract Background Catamenial pneumothorax is characterized by spontaneous recurring pneumothorax during menstruation, which is a common clinical manifestation of thoracic endometriosis syndrome. There are still controversies about its pathogenesis. Case presentation A 43-year-old woman with a history of endometriosis came to our hospital due to recurring pneumothorax during menstruation. Uniportal Video-assisted Thoracoscopic Surgery (VATS) exploration was performed on the eve of menstruating. We thoroughly explored the diaphragm, visceral and parietal pleura: The lung surface was scattered with yellowish-brown implants; no bullae were found; multiple diaphragmatic defects were found on the dome. And surprisingly, we caught a fascinating phenomenon: Bubbles were slipping into pleural cavity through diaphragmatic defects. We excised the diaphragmatic lesions and wedge resected the right upper lung lesion; cleared the deposits and flushed the thoracic cavity with pure iodophor. Diaphragmatic lesions confirmed the presence of endometriosis, and interestingly enough, microscopically, endometrial cells were shedding with impending menses. After a series of intraoperative operations and postoperative endocrine therapy, the disease did not recur after a period of follow-up. Conclusion We have witnessed the typical signs of catamenial pneumothorax at the accurate timing: Not only observed the process of gas migration macroscopically, but also obtained pathological evidence of diaphragmatic periodic perforation microscopically, which is especially precious and confirms the existing theory that retrograde menstruation leads to diaphragmatic endometriosis, and the diaphragmatic fenestration is obtained due to the periodic activities of ectopic endometrium.

scholarly journals A Case of Thoracic Endometriosis Syndrome Presenting with Recurrent Catamenial Pneumothorax

2018 ◽  
Vol 19 ◽  
pp. 573-576
Author(s):  
Shoaib Z. Junejo ◽  
Sandeep Singh Lubana ◽  
Sukhdip Singh Shina ◽  
Sandeep Singh Tuli
Keyword(s):  
Catamenial Pneumothorax ◽  
Thoracic Endometriosis

scholarly journals Aromatase inhibitor therapy in a cystic fibrosis patient with thoracic endometriosis

2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Olga T. Filippova ◽  
Heidi E. Godoy ◽  
Patrick F. Timmins III
Keyword(s):  
Cystic Fibrosis ◽  
Aromatase Inhibitor ◽  
Lung Resection ◽  
Treatment Algorithm ◽  
Pelvic Endometriosis ◽  
Catamenial Pneumothorax ◽  
Catamenial Hemoptysis ◽  
The One ◽  
Extrapelvic Endometriosis ◽  
Thoracic Endometriosis

The thoracic cavity is the number one site for extrapelvic endometriosis, with catamenial pneumothorax as the most common presenting symptom. Its treatment algorithm is similar to the one for pelvic endometriosis, with the goal of inducing a hypoestrogenic state. However, if medical treatment fails, lung resection may be the only option. We present a case of a 44-year-old female with cystic fibrosis and known pelvic endometriosis, who was diagnosed with thoracic endometriosis after presenting with catamenial hemoptysis. After having a recurrence more than four years after a bilateral salpingo-oophorectomy, she was started on aromatase inhibitor (AI) therapy to avoid lung resection. Such therapy with an AI successfully treated recurrent thoracic endometriosis in a patient with cystic fibrosis, i.e. not an ideal candidate for lung resection.

Thoracic endometriosis-related non-catamenial pneumothorax with peculiar histological findings

2019 ◽  
Vol 68 (9) ◽  
pp. 1040-1042
Author(s):  
Elisa Scarnecchia ◽  
Francesco Inzirillo ◽  
Paolo Declich ◽  
Claudio Della Pona
Keyword(s):  
Histological Findings ◽  
Catamenial Pneumothorax ◽  
Thoracic Endometriosis

scholarly journals A case of catamenial pneumothorax with diffuse thoracic endometriosis

2006 ◽  
Vol 20 (5) ◽  
pp. 790-794
Author(s):  
Keisei Tachibana ◽  
Tomohiko Ikeya ◽  
Nobumasa Takahashi ◽  
Katsumi Murai ◽  
Katsuhiko Aoyama ◽  
...  
Keyword(s):  
Catamenial Pneumothorax ◽  
Thoracic Endometriosis

scholarly journals Left-Sided Catamenial Pneumothorax with Thoracic Endometriosis and Bullae in the Alveolar Wall

2017 ◽  
Vol 23 (2) ◽  
pp. 108-112 ◽  
Author(s):  
Ryo Takahashi ◽  
Masatoshi Kurihara ◽  
Teruaki Mizobuchi ◽  
Hiroki Ebana ◽  
Sumitaka Yamanaka
Keyword(s):  
Alveolar Wall ◽  
Catamenial Pneumothorax ◽  
Thoracic Endometriosis

Thoracic endometriosis and catamenial pneumothorax

2011 ◽  
pp. 265-281 ◽  
Author(s):  
A. Bobbio ◽  
R. Trisolini ◽  
D. Damotte ◽  
M. Alifano
Keyword(s):  
Catamenial Pneumothorax ◽  
Thoracic Endometriosis

THORACIC ENDOMETRIOSIS SYNDROME PRESENTING AS RECURRENT CATAMENIAL PNEUMOTHORAX

CHEST Journal ◽  
2019 ◽  
Vol 156 (4) ◽  
pp. A1428
Author(s):  
Ahmed Qavi ◽  
Prasanta Basak ◽  
Stephen Jesmajian
Keyword(s):  
Catamenial Pneumothorax ◽  
Thoracic Endometriosis

scholarly journals Thoracic Endometriosis Syndrome–Uncommon Entity of Pelvic Endometriosis

2017 ◽  
Vol 1 (1) ◽  
Keyword(s):  
Surgical Treatment ◽  
Spontaneous Pneumothorax ◽  
Pulmonary Nodules ◽  
Pelvic Endometriosis ◽  
Catamenial Pneumothorax ◽  
Complex Condition ◽  
Clinical Dilemma ◽  
Thoracic Endometriosis

Thoracic Endometriosis syndrome (TES) is a complex condition consisting of four distinct clinical entities: catamenial pneumothorax, catamenial hemothorax, hemoptysis, and pulmonary nodules. TES poses a clinical dilemma when presented with chest symptoms rather than predictable symptoms of pelvic endometriosis. It is a complex condition often diagnosed late. The treatment includes hormonal management and surgical treatment if needed. We report the case of an 18-year-old girl who was initially diagnosed with recurrent spontaneous pneumothorax and subsequently proved to have catamenial pneumothorax secondary to pelvic endometriosis.

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