Video‐assisted surgical diagnosis and pleural adhesion management in catamenial pneumothorax: A case and literature review

Abstract Catamenial pneumothorax is a rare primary spontaneous pneumothorax associated with the menstrual phase and is the most common manifestation of thoracic endometriosis syndrome. We report a case of a 32‐year‐old woman with a history of endometriosis who presented to the emergency ward with a...

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Main Authors: Irandi Putra Pratomo, Muhammad Arza Putra, Lidia Giritri Bangun, Isti Mardiana Soetartio, Maria Angela Putri Maharani, Irene Sinta Febriana, Dicky Soehardiman, Prasenohadi Prasenohadi, Tutug Kinasih
Format: Article
Language:English
Published: Wiley 2023-04-01
Series:Respirology Case Reports
Subjects:
Online Access:https://doi.org/10.1002/rcr2.1123
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author Irandi Putra Pratomo
Muhammad Arza Putra
Lidia Giritri Bangun
Isti Mardiana Soetartio
Maria Angela Putri Maharani
Irene Sinta Febriana
Dicky Soehardiman
Prasenohadi Prasenohadi
Tutug Kinasih
author_facet Irandi Putra Pratomo
Muhammad Arza Putra
Lidia Giritri Bangun
Isti Mardiana Soetartio
Maria Angela Putri Maharani
Irene Sinta Febriana
Dicky Soehardiman
Prasenohadi Prasenohadi
Tutug Kinasih
author_sort Irandi Putra Pratomo
collection DOAJ
description Abstract Catamenial pneumothorax is a rare primary spontaneous pneumothorax associated with the menstrual phase and is the most common manifestation of thoracic endometriosis syndrome. We report a case of a 32‐year‐old woman with a history of endometriosis who presented to the emergency ward with a chief complaint of dyspnea and right‐sided chest pain, and a chest X‐ray showed a right pneumothorax. Initial management was by placing a chest tube to expand the right lung. The patient underwent a video‐assisted thoracoscopy and talc pleurodesis, during which we found multiple perforations in the tendinous part of the diaphragm. A partial resection of the tendinous part of the diaphragm was done. Our review indicated that primary spontaneous pneumothorax in women should be suspected as catamenial pneumothorax due to thoracic endometriosis. The gold standard procedure for diagnosis and treatment is surgery. Hormonal therapy is an effective choice to prevent and reduce post‐operative recurrence.
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spelling doaj.art-3946157b83c248939a1ef18023e0c9302023-03-29T08:50:29ZengWileyRespirology Case Reports2051-33802023-04-01114n/an/a10.1002/rcr2.1123Video‐assisted surgical diagnosis and pleural adhesion management in catamenial pneumothorax: A case and literature reviewIrandi Putra Pratomo0Muhammad Arza Putra1Lidia Giritri Bangun2Isti Mardiana Soetartio3Maria Angela Putri Maharani4Irene Sinta Febriana5Dicky Soehardiman6Prasenohadi Prasenohadi7Tutug Kinasih8Department of Pulmonology and Respiratory Medicine, Faculty of Medicine Universitas Indonesia—National Respiratory Referral Center Persahabatan Hospital Jakarta 13230 IndonesiaDepartment of Surgery, Faculty of Medicine Universitas Indonesia—Dr. Cipto Mangunkusumo Hospital Jakarta 10320 IndonesiaDepartment of Pulmonology and Respiratory Medicine, Faculty of Medicine Universitas Indonesia—National Respiratory Referral Center Persahabatan Hospital Jakarta 13230 IndonesiaDepartment of Pulmonology and Respiratory Medicine, Faculty of Medicine Universitas Indonesia—National Respiratory Referral Center Persahabatan Hospital Jakarta 13230 IndonesiaDepartment of Pathological Anatomy Universitas Indonesia Hospital, Universitas Indonesia Depok 16424 IndonesiaDepartment of Obstetrics and Gynecology Universitas Indonesia Hospital, Universitas Indonesia Depok 16424 IndonesiaDepartment of Pulmonology and Respiratory Medicine, Faculty of Medicine Universitas Indonesia—National Respiratory Referral Center Persahabatan Hospital Jakarta 13230 IndonesiaDepartment of Pulmonology and Respiratory Medicine, Faculty of Medicine Universitas Indonesia—National Respiratory Referral Center Persahabatan Hospital Jakarta 13230 IndonesiaPulmonology and Respiratory Medicine Staff Group Universitas Indonesia Hospital, Universitas Indonesia Depok 16424 IndonesiaAbstract Catamenial pneumothorax is a rare primary spontaneous pneumothorax associated with the menstrual phase and is the most common manifestation of thoracic endometriosis syndrome. We report a case of a 32‐year‐old woman with a history of endometriosis who presented to the emergency ward with a chief complaint of dyspnea and right‐sided chest pain, and a chest X‐ray showed a right pneumothorax. Initial management was by placing a chest tube to expand the right lung. The patient underwent a video‐assisted thoracoscopy and talc pleurodesis, during which we found multiple perforations in the tendinous part of the diaphragm. A partial resection of the tendinous part of the diaphragm was done. Our review indicated that primary spontaneous pneumothorax in women should be suspected as catamenial pneumothorax due to thoracic endometriosis. The gold standard procedure for diagnosis and treatment is surgery. Hormonal therapy is an effective choice to prevent and reduce post‐operative recurrence.https://doi.org/10.1002/rcr2.1123catamenial pneumothoraxdiaphragm abnormalitiesendometriosis associated diseasespleural diseasesvideo‐assisted thoracoscopic surgery
spellingShingle Irandi Putra Pratomo
Muhammad Arza Putra
Lidia Giritri Bangun
Isti Mardiana Soetartio
Maria Angela Putri Maharani
Irene Sinta Febriana
Dicky Soehardiman
Prasenohadi Prasenohadi
Tutug Kinasih
Video‐assisted surgical diagnosis and pleural adhesion management in catamenial pneumothorax: A case and literature review
Respirology Case Reports
catamenial pneumothorax
diaphragm abnormalities
endometriosis associated diseases
pleural diseases
video‐assisted thoracoscopic surgery
title Video‐assisted surgical diagnosis and pleural adhesion management in catamenial pneumothorax: A case and literature review
title_full Video‐assisted surgical diagnosis and pleural adhesion management in catamenial pneumothorax: A case and literature review
title_fullStr Video‐assisted surgical diagnosis and pleural adhesion management in catamenial pneumothorax: A case and literature review
title_full_unstemmed Video‐assisted surgical diagnosis and pleural adhesion management in catamenial pneumothorax: A case and literature review
title_short Video‐assisted surgical diagnosis and pleural adhesion management in catamenial pneumothorax: A case and literature review
title_sort video assisted surgical diagnosis and pleural adhesion management in catamenial pneumothorax a case and literature review
topic catamenial pneumothorax
diaphragm abnormalities
endometriosis associated diseases
pleural diseases
video‐assisted thoracoscopic surgery
url https://doi.org/10.1002/rcr2.1123
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