CATAMENIAL PNEUMOTHORAX: A CASE REPORT
DOI:
https://doi.org/10.29237/2358-9868.2018v6i2.p138-142Keywords:
Pneumothorax, Endometriosis, DyspneaAbstract
Objective: To report an unusual type of spontaneous pneumothorax in a patient with endometriosis. Case description: A 43-year-old female patient with endometriosis presented five episodes of spontaneous pneumothorax in which all had a relationship with the menstrual cycle, and in two, chest drainage was required. At the last hospitalization, the patient was dyspneic at admission, with decreased vesicular murmur in the right hemithorax. Chest X-ray showed pneumothorax and CT scan indicated no lesions or blisters, and video-assisted thoracoscopy was indicated. Lesions were found with diaphragm fenestration on the right. In this way, it was indicated the frenorrafia, pleurodese with talc and chest drainage. Patient presented good response, satisfactory pulmonary expansion, being discharged on the third day after surgery and referred to a gynecology outpatient clinic. Comments: from the clinical case, the importance of the investigation of catamenial pneumothorax and endometriosis in women of childbearing age with repetitive spontaneous pneumothorax to the menstrual cycle is noted.
References
2. Casarin DAD, Baliero JR, Filho HML, Mendes RA, Viana PWD. SÍNDROME DA ENDOMETRIOSE TORÁCICA. Revista Pensar Acadêmico. 2017; 13(2):50-57.
3. Barbosa BC, Marchiori E, Zanetti GMR, Barillo JL. Catamenial pneumothorax. Radiol Bras. 2015;48(2).
4. Alifano M, Roth T, Broet SC, Schussler O, Magdeleinat P, Regnard JF. Catamenial pneumothorax: a prospective study. Chest. 2003;124(3):1004-1008.
5. Grigol PC, Merege CES, Paschoalin PN, Quinta Jr LF, Cury FA. Pneumotórax catamenial, fenestrações diafragmáticas e endometriose: considerações sobre um caso. Arq Ciênc Saúde. 2013; 20(3):88-90.
6. Tulandi T, Sirois C, Sabban H, Cohen A, Murji A, Singh SS, Chen I, Belland L. Relationship between Catamenial Pneumothorax or Noncatamenial Pneumothorax and Endometriosis. Journal of Minimally Invasive Gynecology. 2018; 25(3):480-483.
7. Elia S, De Felice L, Varvaras D, Sorrenti G, Mauriello A, Petrella G. Catamenial pneumothorax due to solitary localization of diaphragmatic endometriosis. International Journal of Surgery Case Reports. 2015; 12:19-22.
8. Haddad R, Arévalo C, Nigri D. Catamenial Pneumothorax: Presentation of an Uncommon Pathology: Review of Topic. Clin Surg. 2017; 2:1801
9. Araújo EFB, Fernandes ES. Endometriose torácica: relato de casos e revisão de literatura. Rev Med Minas Gerais. 2016;26(5):S152-S154.
10. Ziedalski T, Sankaranarayanan V, Chitkara RK. Thoracic endometriosi s: a case report and a literature review. J Thorac Cardiovasc Surg. 2004; 127:1513 - 1514.
11. Costa F, Matos F. Endometriose torácica. Rev Port Pneumol 2008; 14(3): 427-435.
12. Cassina PC, Hauser M, Kacl G, Imthurn B, Schroder S, Weder W. Catamenial hemoptysis . Diagnosis with MRI. Chest 1997; 111: 1447-1450.
13. Visouli AN, Darwiche K, Mpakas A, Zaragoulidis P,Pappagiannis A, Tsakiridis K, et al. Catamenial pneumothorax: a rare entity (interrog) Report of 5 cases and review of the literature. J Thorac Dis 2012; 4(1): 17-31.
