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

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

Research output: Contribution to journalArticlepeer-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 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.

Original languageEnglish
Article numbere01123
JournalRespirology Case Reports
Volume11
Issue number4
DOIs
Publication statusPublished - Apr 2023

Keywords

  • catamenial pneumothorax
  • diaphragm abnormalities
  • endometriosis associated diseases
  • pleural diseases
  • video-assisted thoracoscopic surgery

Fingerprint

Dive into the research topics of 'Video-assisted surgical diagnosis and pleural adhesion management in catamenial pneumothorax: A case and literature review'. Together they form a unique fingerprint.

Cite this