Catamenial pneumothorax surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Overview

Pneumothorax is a medical emergency because it comes with severe pain and decreased lung function. A chest tube should be inserted after clinical assessment. This releases the air and menstrual blood, and the lung can re-expand.

Surgery, hormonal treatments and combined approaches have all been proposed, with variable results in terms of short and long term outcome.[1] Surgical removal of the endometrial tissue should be endeavoured during menstruation for optimal visualization of the cyst.[2] Pleurodesis may also be helpful. Menstruation and accompanying lung collapse can be suppressed with hormone therapy,[3] like with Lupron Depot, danazol or extended cycle combined oral contraceptive pills.

References

  1. Peikert T, Gillespie DJ, Cassivi SD (2005). "Catamenial pneumothorax: case report and review of the literature". Mayo Clinic Proceedings. 80 (5): 677–680. PMID 15887438.
  2. Poyraz AS, Kilic D, Hatipoglu A, Demirhan BA. A very rare entity: catamenial pneumothorax. Asian Cardiovasc Thorac Ann 2005; 13:271-3. PMID 16113003
  3. radio/563 at eMedicine

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