Catamenial pneumothorax caused by thoracic endometriosis
نویسندگان
چکیده
Background Thoracic endometriosis syndrome is a rare form of extrapelvic endometriosis characterized by the presence of functioning endometrial tissue in pleura, lung parenchyma, and airways, associated with a high rate of infertility. Case Report We have reported a case of successful management and treatment of thoracic endometriosis syndrome that occurred in a 37-year-old female patient. She underwent thoracoscopic resection of the lesion. During follow-up, we revealed the recurrence of a previously surgically treated thoracic endometriosis. She was initially treated with a gonadotropin-releasing hormone agonist; subsequently this was replaced by a prophylactic treatment with Dienogest. Conclusion The diagnosis of thoracic endometriosis is challenging. The first line of treatment is medical, whereas the surgical treatment is performed secondly. Moreover, surgical treatment can lead to a significant rate of recurrence, often reduced by a coadjutant medical treatment.
منابع مشابه
Recurrent catamenial pneumothorax caused by diaphragmatic fenestration.
Catamenial pneumothorax, which is a rare cause of spontaneous pneumothorax, is defined as a pneumothorax that starts at the onset of or within the first 72 hours of the menstruation period in women.1 Catamenial pneumothorax was first described by Maurer et al in 1958.2 The reported incidence of catamenial pneumothorax among the spontaneous pneumothoraces is 3–6%, but the actual incidence is 25–...
متن کاملThoracic endometriosis: a case report.
Thoracic endometriosis is a rare form of extrapelvic endometriosis. These patients typically present with catamenial pneumothorax or hemoptysis. Adequate clinical history coupled with HRCT helps in early diagnosis and appropriate management of thoracic endometriosis.
متن کاملCatamenial pneumothorax and endometriosis-related pneumothorax: clinical features and risk factors.
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 ...
متن کاملThoracic endometriosis syndrome: case report and review of the literature.
Thoracic endometriosis syndrome is the presence of endometrial tissue in or around the lung. Thoracic endometriosis syndrome consists of four distinct clinical entities: catamenial pneumothorax, catamenial hemothorax, hemoptysis, and pulmonary nodules. Thoracic endometriosis syndrome is a rare and complex condition, and diagnosis is often delayed or missed by clinicians, which can result in rec...
متن کاملTwo Young Women with Left-sided Pneumothorax Due to Thoracic Endometriosis
Pneumothorax associated with thoracic endometriosis (TE) generally occurs in women around 30 years old and it usually affects the right pleural cavity. We herein report two cases of TE associated with left-sided pneumothorax in young women. The prevalence of TE in younger patients may be underestimated if these cases are treated as spontaneous pneumothorax. Pneumothorax occurring in younger pat...
متن کاملCatamenial pneumothorax. Is it time to approach differently?
Catamenial pneumothorax CP was considered a rare clinical entity that has gained tremendous interest recently. It is commonly overlooked, misdiagnosed, or under diagnosed. It is part of the thoracic endometriosis syndrome, which includes catamenial hemothorax, catamenial hemoptysis, and pulmonary endometriosis. These represent the spectrum of ectopic pelvic endometriosis. The presentation is va...
متن کامل