Catamenial pneumothorax
Updates to Study Attributes
Residual small right apical pneumothorax s/p placement of pleural space catheter. Linear scar is seen at the right lung apex. Mild bibasilar, right greater than left, densities, most likely subsegmental atelectasis on this noncontrastnon-contrast exam. No subpleural blebs are visualized.
Image CT (non-contrast) (update)
Updates to Study Attributes
Linear density likely representingrepresents fibrosis/scarring in the right upper zone. Surgical sutures in the right upper zone and right lower zone adjoining the right hemidiaphragm are present and are in keeping with s/p right upper lobe wedge resection and right partial diaphragmatic excision. No evidence of recurrent pneumothorax.
Image X-ray (Frontal) (update)
Image X-ray (Lateral) (update)
Updates to Case Attributes
The patient elected for surgery to decrease risk of recurrent pneumothorax. A right VATS, right upper lobe wedge resection, right partial diaphragmatic excision, chemical (doxycycline) and mechanical pleurodesis were performed. Intraoperatively, the patient was noted to have chocolate-coloured nodules of the parietal pleura, and right hemidiaphragm, and scarring of the apical segment of the right upper lobe. These specimens were sent to pathology, and presence of thoracic endometriosis was confirmed on histology. The patient was discharged with oral contraceptive pills.
This case was submitted with supervision and input from:
Soni C. Chawla, M.D.Associate ProfessorDepartment of Radiological SciencesDavid Geffen School of Medicine at UCLAOlive View - UCLA Medical Centre
Pathology slides and input were provided by:
Corina Kwan, M.D.Department of PathologyDavid Geffen School of Medicine at UCLAOlive View - UCLA Medical Centre
-<p>The patient elected for surgery to decrease risk of recurrent pneumothorax. A right VATS, right upper lobe wedge resection, right partial diaphragmatic excision, chemical (doxycycline) and mechanical pleurodesis were performed. Intraoperatively, the patient was noted to have chocolate-coloured nodules of the parietal pleura, and right hemidiaphragm, and scarring of the apical segment of the right upper lobe. These specimens were sent to pathology, and presence of thoracic endometriosis was confirmed on histology. The patient was discharged with oral contraceptive pills.</p><p>This case was submitted with supervision and input from:</p><p>Soni C. Chawla, M.D.<br>Associate Professor<br>Department of Radiological Sciences<br>David Geffen School of Medicine at UCLA<br>Olive View - UCLA Medical Centre </p><p>Pathology slides and input were provided by:</p><p></p><p>Corina Kwan, M.D.<br>Department of Pathology<br>David Geffen School of Medicine at UCLA<br>Olive View - UCLA Medical Centre </p><p></p>- +<p>The patient elected for surgery to decrease risk of recurrent pneumothorax. A right VATS, right upper lobe wedge resection, right partial diaphragmatic excision, chemical (doxycycline) and mechanical pleurodesis were performed. Intraoperatively, the patient was noted to have chocolate-coloured nodules of the parietal pleura, and right hemidiaphragm, and scarring of the apical segment of the right upper lobe. These specimens were sent to pathology, and presence of thoracic endometriosis was confirmed on histology. The patient was discharged with oral contraceptive pills.</p><p>This case was submitted with supervision and input from:</p><p>Soni C. Chawla, M.D.<br>Associate Professor<br>Department of Radiological Sciences<br>David Geffen School of Medicine at UCLA<br>Olive View - UCLA Medical Centre </p><p>Pathology slides and input were provided by:</p><p>Corina Kwan, M.D.<br>Department of Pathology<br>David Geffen School of Medicine at UCLA<br>Olive View - UCLA Medical Centre</p>
References changed:
- 1. Visouli AN, Zarogoulidis K, Kougioumtzi I, Huang H, Li Q, Dryllis G, Kioumis I, Pitsiou G, Machairiotis N, Katsikogiannis N, Papaiwannou A, Lampaki S, Zaric B, Branislav P, Porpodis K, Zarogoulidis P. Catamenial pneumothorax. (2014) Journal of thoracic disease. 6 (Suppl 4): S448-60. <a href="https://doi.org/10.3978/j.issn.2072-1439.2014.08.49">doi:10.3978/j.issn.2072-1439.2014.08.49</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/25337402">Pubmed</a> <span class="ref_v4"></span>
- Visouli AN, Zarogoulidis K, Kougioumtzi I, Huang H, Li Q, Dryllis G, Kioumis I, Pitsiou G, Machairiotis N, Katsikogiannis N, Papaiwannou A, Lampaki S, Zaric B, Branislav P, Porpodis K, Zarogoulidis P. Catamenial pneumothorax. (2014) Journal of thoracic disease. 6 (Suppl 4): S448-60. <a href="https://doi.org/10.3978/j.issn.2072-1439.2014.08.49">doi:10.3978/j.issn.2072-1439.2014.08.49</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/25337402">Pubmed</a> <span class="ref_v4"></span>