Catamenial pneumothorax: Difference between revisions
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==Background== | ==Background== | ||
*Definition: Spontaneous, recurrent pneumothorax in women of reproductive age, occurring in temporal relationship with menses<ref name= | *Definition: Spontaneous, recurrent pneumothorax in women of reproductive age, occurring in temporal relationship with menses<ref name=ThoracicDisease>NV Aikaterini, et al. "Catamenial pneumothorax: a rare entity? Report of 5 cases and review of the literature." Journal of Thoracic Disease. Vol 4, Supplement 1 (November 2012)</ref> | ||
*Believed to be caused by endometriosis of the pleura | *Believed to be caused by endometriosis of the pleura | ||
*3-6% of pneumothoraxes in women | *3-6% of pneumothoraxes in women<ref name=ThoracicDisease /> | ||
*A form of [[thoracic endometriosis syndrome]] | *A form of [[thoracic endometriosis syndrome]] | ||
Revision as of 21:55, 13 May 2015
Background
- Definition: Spontaneous, recurrent pneumothorax in women of reproductive age, occurring in temporal relationship with menses[1]
- Believed to be caused by endometriosis of the pleura
- 3-6% of pneumothoraxes in women[1]
- A form of thoracic endometriosis syndrome
Clinical Features
- Spontanous pneumothorax symptoms <72 hours after menstruation
- Exclusively in women of menstrual age (typically 30–40 years)
- History of endometriosis
Differential Diagnosis
Pneumothorax Types
Diagnosis
Management
Unstable
- Needle decompresion followed by chest tube insertion
Stable
- Consider hormonal treatment
- Consider surgery