Menstruation-related spontaneous pneumothorax

Case contributed by Dr Bruno Di Muzio

Presentation

Shortness of breath.

Patient Data

Age: 36
Gender: Female

Chest X-ray

Modality: X-ray

Chest x-ray shows a right pneumothorax

CT Chest

Modality: CT

Right pneumothorax and some atelectasis.  

Patient was immediately drained on the emergency department. 

Control after chest drainage. Day after.

Modality: X-ray

There is a right thoracic drain. No more signs of pneumothorax. 

Case Discussion

The present studies doesn't show us, but the patient has a confirmed history of endometriosis with endometriotic lesions in thoracic cavity. This was her fourth pneumothorax episode during menstruation period, all of then on the right side. 

Endometriosis is a common and clinically important problem in women of childbearing age. It is classically defined as the presence of functional endometrial glands and stroma outside the uterine cavity and musculature.

This patient had a menstruation-related spontaneous pneumothorax, condition that is also termed as catamenial pneumothorax.

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Case Information

rID: 30293
Case created: 1st Aug 2014
Last edited: 10th Sep 2015
System: Chest
Inclusion in quiz mode: Included

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