{"paper_id":"667aed94-d128-4cae-8ee7-03fcdd5fdb83","body_text":"Abstract\nPulmonary endometriosis is manifested as either asymptomatic pulmonary nodules or as pneumothorax, hemothorax, or hemoptysis during menses. We review 84 cases of pulmonary endometriosis in the English literature and report 3 additional patients. One of our patients is the first reported to have hemoneumothorax. Catamenial pneumothorax usually involved the right chest, and occurred in young nulliparous women without pelvic endometrosis. Pleuroscopy, laparoscopy with pneumoperitoneum, and thoracotomy produced a tissue diagnosis infrequently. Hormonal suppression of ovulation and pleurodesis usually corrected this disorder. Catamenial hemothorax only affected the right chest, but occurred in older multiparous women with pelvic endometriosis. While thoracotomy or laparotomy produced a tissue diagnosis, these procedures were not curative. In contrast, our patient with this disorder was treated successfully with pleurectomy. Catamenial hemoptysis occurred in multiparous women without pelvic endometriosis. Bronchoscopy localized bleeding but never produced a tissue diagnosis. Thoracotomy produced endometrial tissue. Endometrial pulmonary nodules require a diagnosis but do not otherwise produce problems.\nSimilar content being viewed by others\nReferences\nAssor D (1972) Endometriosis of the lung: report of a case. Am J Clin Pathol 57:311–315\nBarnes J (1953) Endometriosis of the pleura and ovaries. J Obstet Gynaecol Br Emp 60:823\nBarracos A (1979) Catamenial pneumothorax: case report and review of the literature. Am Surg 45:340–343\nBrews A (1954) Endometriosis including endometriosis of the diaphragm and Meigs syndrome. Proc R Soc Med 47:461\nButler H, Lake KB, Van Dyke JJ (1978) Bronchial endometriosis and bronchiectasis. Arch Intern Med 138:991\nCharles D (1957) Endometriosis and hemorrhagic pleural effusion. Obstet Gynecol 10:309–312\nCollins TFB (1967) Recurrent spontaneous pneumothoraces coincident with menstruation. S Afr Med J 41:391–392\nCrosby DL (1973) Catamenial pneumothorax. Ariz Med 30:260–261\nDavies R (1968) Recurring spontaneous pneumothorax concomitant with menstruation. Thorax 23:370–373\nDavies R, Kalinowski S (1971) Recurring spontaneous pneumothorax and its association with endometriosis. Br J Dis Chest 65:222–224\nFleischman J, Davidson JF (1959) Vicarious menstruation: a likely case of pulmonary endometriosis. Lancet 2:88\nFurman WR, Wang KP, Summer WR, Terry PB (1980) Catamenial pneumothorax—evaluation by fiberoptic pleuroscopy. Am Rev Respir Dis 121:137–140\nGranberg I, Williams JS (1977) Endometriosis of lung and pleura diagnosed by aspiration biopsy. Acta Cytol 2:295–297\nHerman MA (1976) Recurring spontaneous pneumothorax associated with menses. South Med J 69:488–489\nHibbard LT, Schumann WR, Goldstein GE (1981) Thoracic endometrosis: a review and report of two cases. Am J Obstet Gynecol 140:227–230\nIrani S, Atkinson L, Cabaniss C, Danovitch S (1976) Pleuroperitoneal endometriosis. Obstet Gynecol 47:(suppl) 72S-74S\nJelihovski T, Grant AF (1968) Endometriosis of the lung. Thorax 23:434–437\nKirshner PA, Delaleau S, Prusansky M (1973) Catamenial pneumothorax: observations and speculations. NY State J Med 73:2693–2694\nKishkovsky A, Baskakov VPO (1963) Roentgen diagnosis of pulmonary endometriosis. Westn Roentgenol Radiol 38:44\nKovarik JL, Toll GD (1966) Thoracic endometrosis with recurrent spontaneous pneumothorax. JAMA 196:595–597\nLattes R, Shepard F, Tovell H (1956) Clinical and pathological study of endometriosis of the lung. Surg Gynecol Obstet 103:552\nLaws HL, Fox LS, Younger JB (1977) Bilateral catamenial pneumothorax. Arch Surg 112:627–628\nLee CY, Di Loreta PC, Beaudoin J (1974) Catamenial pneumothorax. Obstet Gynecol 44:407–411\nLillington GA, Mitchell SP, Wood GA (1972) Catamenial pneumothorax. JAMA 219:1328–1332\nMaurer ER, Schaal JA, Mendez FL Jr (1958) Chronic recurring spontaneous pneumothorax due to endometrosis of the diaphragm. JAMA 168:2013–2014\nMayo P (1963) Recurrent spontaneous pneumothorax concomitant with menstruation. J Thorac Cardiovasc Surg 46:415–416\nMcKnight DJ, Marshall JM (1978) Catamenial pneumothorax and malignant hypertension. Can Anaesth Soc J 25:60–62\nMcSwain HT, Siebel EK (1964) A Spontaneous pneumothorax associated with menstruation or endometriosis. Read before the Annual Meeting of the Southern Thoracic Surgical Association\nMinor A (1978) Recurrent spontaneous pneumothorax concurrent with menses (Letter to editor). Canad J Surg 21:382–383\nMobbs GA, Pfanner DW (1963) Endometriosis of the lung. Lancet 1:472–474\nNAPS document no. 03930, Micro Fiche Publications. PO Box 3513, Grand Central Station, New York, NY 10163\nNicholson J (1951) Endometriosis of the pleura. Thorax 6:756\nRipstin CB, Rohman M, Wallach JB (1959) Endometrosis involving the pleura. J Thorac Cardioavasc Surg 37:464–471\nRodman NH, Jones CW (1962) Catamenial hemoptysis due to bronchial endometriosis. N Engl J Med 255:805–808\nRogers DPM, Saperstein MZ, Rosenfeld DL (1974) Catamenial pneumothorax. Am J Obstet Gynecol 118:572–575\nRossi NP Goplerud CP (1974) Recurrent catamenial pneumothorax. Arch Surg 109:173–176\nSchwarz OH (1938) Endometriosis of the Lung. In the discussion of “Endometrosis, a Clinical and Surgical Review” by VS Counsellor. Am J Obstet Gynecol 36:887\nScurry D Jr, Press HC, Warner OG (1978) Recurrent pneumothorax. J Natl Med Assoc 70:363–364\nShearin RP, Hepper NG, Payne WS (1974) Recurrent spontaneous pneumothorax concurrent with menses. Mayo Clin Proc 49:98–101\nSkobel P (1963) Diaphragmatic complications in endometriosis and Meigs syndrome. Z Tuberk 120:22\nSoderberg CH, Dahliquist EH (1976) Catamenial pneumothorax. Surgery 79:236–238\nStern H, Toole Al, Merino M (1980) Catamenial pneumothorax. Chest 78:480–482\nSturzenegger H (1960) Lingenendometriose unter dem bild jes Rundschattens. Schweiz Tuberk 17:259\nWeldon, CS, Tumolty PA (1968) Recurrent pneumothorax associated with menstruation. John Hopkins Med J 123:259–263\nWilhelm JL, Scommegna A (1977) Catamenial pneumothorax; bilateral occurrence while on suppressive therapy. Obstet Gynecol 50:227–231\nWilliams JF, Williams JB, Hasper JW (1962) Thoracic endometriosis. Am J Obstet Gynecol 84:1512–1515\nWingfield RC (1961) Chronic recurring spontaneous pneumothoraces associated with menstruation. MD State Med J 10:344–345\nYamazaki S, Ogawa J, Koide S, Shohzu A, Osamura Y (1980) Catamenial pneumothorax associated with endometriosis of the diaphragm. Chest 77:107–109\nYeh TJ (1967) Endometriosis within the thorax: metaplasia, implantation or metastasis? J Thorac Cardiovas Surg 53:201–205\nAuthor information\nAuthors and Affiliations\nRights and permissions\nAbout this article\nCite this article\nKarpel, J.P., Appel, D. & Merav, A. Pulmonary endometriosis. Lung 163, 151–159 (1985). https://doi.org/10.1007/BF02713817\nAccepted:\nIssue date:\nDOI: https://doi.org/10.1007/BF02713817","source_license":"CC0","license_restricted":false}