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Bilateral Catamenial Pneumothorax

Bilateral Catamenial Pneumothorax Abstract • Bilateral catamenial pneumothorax occurred in a 32-year-old parous woman. The 41 previously reported cases of catamenial pneumothorax occurred on the right side. This patient was treated with left-sided pleurodesis and, subsequently, with hysterectomy and bilateral salpingo-oophorectomy. The pathologic mechanism of this peculiar syndrome has been attributed to reflux of air via the genitalia and fenestrations in the diaphragm, menstrual shedding of endometrial cells growing in the visceral pleura, or, possibly, aveolar tissue damage secondary to vascular and bronchiolar spasm resulting from dinoprost tromethamine released from menstrual debris. Treatment needs to be tailored to fit the individual patient's specific pelvic and intrathoracic pathology and procreative desires. (Arch Surg 112:627-628, 1977) References 1. Maurer ER, Schaal JA, Mendez FL Jr: Chronic recurring spontaneous pneumothorax due to endometriosis of the diaphragm . JAMA 168:2013-2014, 1958.Crossref 2. Soderberg CH, Dahlquist EH: Catamenial pneumothorax . Surgery 79:236-238, 1976. 3. Shearin RP, Hepper NG, Payne WS: Recurrent spontaneous pneumothorax concurrent with menses . Mayo Clin Proc 49:98-100, 1974. 4. Davies R: Recurring spontaneous pneumothorax concomitant with menstruation . Thorax 23:370-375, 1968.Crossref 5. Kovarik JL, Toll GD: Thoracic endometriosis with recurrent spontaneous pneumothorax . JAMA 196:221-223, 1966.Crossref 6. Rogers PM, Saperstein ML, Rosenfeld DL: Catamenial pneumothorax . Am J Obstet Gynecol 118:572-575, 1974. 7. Dodek SM, Friedman JM: Spontaneous pneumoperitoneum . Obstet Gynecol 1:689-697, 1953. 8. Lozman H, Newman AJ: Spontaneous pneumoperitoneum occurring during post-partum exercises in the knee-chest position . Am J Obstet Gynecol 72:903-905, 1956. 9. Crutcher RR, Waltuch TL, Blue ME: Recurring spontaneous pneumothorax associated with menstruation . J Thorac Cardiovasc Surg 54:599-692, 1967. 10. Ross J, Farber JE: Right-sided spontaneous pneumothorax complicating therapeutic pneumoperitoneum . Am Rev Tuberc 63:67-75, 1951. 11. Mayo P: Recurrent spontaneous pneumothorax concomitant with menstruation . J Thorac Cardiovasc Surg 46:415-416, 1963. 12. Pratt JJ, Shamblin WR: Spontaneous hemothorax as a direct complication of hemoperitoneum . Ann Surg 167:867-871, 1968.Crossref 13. Ulfelder H, in discussion, Pratt JH, Shamblin WR: Spontaneous hemothorax as a direct complication of hemoperitoneum . Ann Surg 167:871-872, 1968. 14. Lillington GA, Mitchell SP, Wood G: Catamenial pneumothorax . JAMA 219:1328-1332, 1972.Crossref 15. Crosby DJ: Catamenial pneumothorax . Ariz Med 30:260-261, 1973. 16. Kirschner PA, Delaleu S, Prusansky M: Catamenial pneumothorax: Observations and speculations . NY State J Med 73:2693-2694, 1973. 17. Wingfield RC: Chronic recurring spontaneous pneumothoraces associated with menstruation . Md State Med J 10:344-345, 1961. 18. Rossi NP, Coplerud CP: Recurrent catamenial pneumothorax . Arch Surg 109:173-176, 1974.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1977 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1977.01370050087015
Publisher site
See Article on Publisher Site

Abstract

Abstract • Bilateral catamenial pneumothorax occurred in a 32-year-old parous woman. The 41 previously reported cases of catamenial pneumothorax occurred on the right side. This patient was treated with left-sided pleurodesis and, subsequently, with hysterectomy and bilateral salpingo-oophorectomy. The pathologic mechanism of this peculiar syndrome has been attributed to reflux of air via the genitalia and fenestrations in the diaphragm, menstrual shedding of endometrial cells growing in the visceral pleura, or, possibly, aveolar tissue damage secondary to vascular and bronchiolar spasm resulting from dinoprost tromethamine released from menstrual debris. Treatment needs to be tailored to fit the individual patient's specific pelvic and intrathoracic pathology and procreative desires. (Arch Surg 112:627-628, 1977) References 1. Maurer ER, Schaal JA, Mendez FL Jr: Chronic recurring spontaneous pneumothorax due to endometriosis of the diaphragm . JAMA 168:2013-2014, 1958.Crossref 2. Soderberg CH, Dahlquist EH: Catamenial pneumothorax . Surgery 79:236-238, 1976. 3. Shearin RP, Hepper NG, Payne WS: Recurrent spontaneous pneumothorax concurrent with menses . Mayo Clin Proc 49:98-100, 1974. 4. Davies R: Recurring spontaneous pneumothorax concomitant with menstruation . Thorax 23:370-375, 1968.Crossref 5. Kovarik JL, Toll GD: Thoracic endometriosis with recurrent spontaneous pneumothorax . JAMA 196:221-223, 1966.Crossref 6. Rogers PM, Saperstein ML, Rosenfeld DL: Catamenial pneumothorax . Am J Obstet Gynecol 118:572-575, 1974. 7. Dodek SM, Friedman JM: Spontaneous pneumoperitoneum . Obstet Gynecol 1:689-697, 1953. 8. Lozman H, Newman AJ: Spontaneous pneumoperitoneum occurring during post-partum exercises in the knee-chest position . Am J Obstet Gynecol 72:903-905, 1956. 9. Crutcher RR, Waltuch TL, Blue ME: Recurring spontaneous pneumothorax associated with menstruation . J Thorac Cardiovasc Surg 54:599-692, 1967. 10. Ross J, Farber JE: Right-sided spontaneous pneumothorax complicating therapeutic pneumoperitoneum . Am Rev Tuberc 63:67-75, 1951. 11. Mayo P: Recurrent spontaneous pneumothorax concomitant with menstruation . J Thorac Cardiovasc Surg 46:415-416, 1963. 12. Pratt JJ, Shamblin WR: Spontaneous hemothorax as a direct complication of hemoperitoneum . Ann Surg 167:867-871, 1968.Crossref 13. Ulfelder H, in discussion, Pratt JH, Shamblin WR: Spontaneous hemothorax as a direct complication of hemoperitoneum . Ann Surg 167:871-872, 1968. 14. Lillington GA, Mitchell SP, Wood G: Catamenial pneumothorax . JAMA 219:1328-1332, 1972.Crossref 15. Crosby DJ: Catamenial pneumothorax . Ariz Med 30:260-261, 1973. 16. Kirschner PA, Delaleu S, Prusansky M: Catamenial pneumothorax: Observations and speculations . NY State J Med 73:2693-2694, 1973. 17. Wingfield RC: Chronic recurring spontaneous pneumothoraces associated with menstruation . Md State Med J 10:344-345, 1961. 18. Rossi NP, Coplerud CP: Recurrent catamenial pneumothorax . Arch Surg 109:173-176, 1974.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: May 1, 1977

References