Catamenial pneumothorax (a Case Report)

authors:

avatar Mohammad Ali Hessami 1 , * , avatar Sh Goodarzi 1

Iran

how to cite: Hessami M A, Goodarzi S. Catamenial pneumothorax (a Case Report). J Kermanshah Univ Med Sci. 2009;12(4):e79951.

Abstract

Introduction: Catamenial pneumothorax is a rare disease caused by presence of endometrial tissues in chest cavity  showing itself with pneumothorax 24 to 48 hours after  the beginning of menstrual period .
 A case of Catamenial pneumothorax is presented here.
Case presentation: The case was a 17-year-old young woman admitted to hospital with symptoms and signs including chest pain, dyspnea, tachypnea and decreased breath sounds in right hemithorax started with her menstrual period. The patient had a history of similar attacks in her previous menstrual periods. Right pneumothorax was observed in the x-ray. Tube thoracostomy was inserted and chemical pleurodesis was administered. Treatment with decapeptil (GNRH analog) injection continued for 6 months.
Conclusion: Diagnosis of the disease is clinical.  Early diagnosis and treatment is recommended for all the patients in reproductive ages with dyspne, chest pain and pneumothorax  as well as a history of recurring symptoms during the previous menstrual periods.

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