Catamenial pneumothorax: Difference between revisions
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*Caused by endometriosis of the pleura<ref name=ThoracicDisease /> | *Caused by endometriosis of the pleura<ref name=ThoracicDisease /> | ||
*3-6% of pneumothoraxes in women<ref name=ThoracicDisease /> | *3-6% of pneumothoraxes in women<ref name=ThoracicDisease /> | ||
*A form of | *A form of thoracic endometriosis syndrome | ||
==Clinical Features== | ==Clinical Features== | ||
Revision as of 21:56, 13 May 2015
Background
- Definition: Spontaneous, recurrent pneumothorax in women of reproductive age, occurring in temporal relationship with menses[1]
- Caused by endometriosis of the pleura[1]
- 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