Catamenial pneumothorax
Revision as of 22:00, 13 May 2015 by Rossdonaldson1 (talk | contribs)
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
- Spontaneous 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
- Tube thoracostomy
- Surgery and hormonal treatment[1]
Disposition
- Admission