Catamenial pneumothorax revealing diaphragmatic endometriosis: a case report and revue of literature

Catamenial pneumothorax (CP) is a rare entity of spontaneous, recurring pneumothorax in women. We aim to discuss the etiology, clinical course, and surgical treatment of a 42-year-old woman with CP. This patient had a right-sided spontaneous pneumothoraces occurred one week after menses. She had und...

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Detalles Bibliográficos
Autores principales: Aissa, Sana, Benzarti, Wafa, Alimi, Faouzi, Gargouri, Imen, Salem, Halima Ben, Aissa, Amène, Fathallah, Khadija, Abdelkade, Atef Ben, Alouini, Rafika, Garrouche, Abdelhamid, Hayoun, Abdelaziz, Abdelghani, Ahmed, Benzarti, Mohamed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5554645/
https://www.ncbi.nlm.nih.gov/pubmed/28819533
http://dx.doi.org/10.11604/pamj.2017.27.112.8007
Descripción
Sumario:Catamenial pneumothorax (CP) is a rare entity of spontaneous, recurring pneumothorax in women. We aim to discuss the etiology, clinical course, and surgical treatment of a 42-year-old woman with CP. This patient had a right-sided spontaneous pneumothoraces occurred one week after menses. She had under-gone video-assisted thoracoscopic surgery (VATS) because of a persistent air leak under chest tube. VATS revealed multiple diaphragmatic fenestrations with an upper right nodule. Defects were removed and a large part of the diaphragm was resected. Pleural abrasion was then performed over the diaphragm. Diaphragmatic endometriosis was confirmed by microscopic examination. Medical treatment with GnRH agonists was prescribed, and after recovery, the patient has been symptoms free for 20 months.

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