Experience of treatment of endometriosisrelated pneumothorax

В. Г. Пищик, А. Д. Оборнев, M. A. Atyukov, Petrov As, А. И. Коваленко
In: Grekov's Bulletin of Surgery · 2017 · vol. 176(3) , pp. 56–60 · doi:10.24884/0042-4625-2017-176-3-56-60 · W2959690540
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This study of 30 endometriosis-related pneumothorax patients found elder age, right-sided location, and recurrence were associated, with diaphragmatic fenestrations specific to ERP, and diaphragm resection with pleurectomy plus hormone therapy being the most effective treatment.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This Russian paper reports clinical experience treating endometriosis-associated pneumothorax, presented by the authors as a description of management outcomes in their treated patients. It is based on the authors’ real-world treatment experience rather than a comparative design, and the text provided does not include detailed patient characteristics, specific interventions, or quantified results. A major limitation is that, from the available content, the study’s methods, inclusion criteria, and outcomes cannot be fully assessed. This paper is centrally about endometriosis — it focuses specifically on the treatment experience of endometriosis-related pneumothorax.

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Abstract

OBJECTIVE. The article analyzed the experience of treatment of endometriosis-related pneumothorax (ERP). MATERIAL AND METHODS. The diagnosis of ERP was detected in 30 women at the period from 2004 to 2015. A control group consisted of 149 women. RESULTS. Statistically significant differences associated with presence of ERP were the elder age, right-side localization and recurrence course of disease. Diaphragmatic fenestrations and endometriotic ectopy and their combinations were specific findings in ERP-group. This group of patients characterized by frequent recurrences and higher rate of complications. The most effective method of treatment of ERP was diaphragm resection with pleurectomy and hormone therapy from 3 to 6 months after surgery. CONCLUSIONS. Endometriosis-related pneumothorax could cause up to 34 % cases of spontaneous pneumothorax in women of reproductive age. Diaphragmatic fenestrations and endometriotic lesions were specific signs of EAP. Direct visual examination of the pleural cavity was inevitable for reliable diagnostics of the disease. Surgical treatment of ERP was determined by higher rates of complication and recurrence. Postoperative hormone therapy could significantly improve the results of surgical treatment of ERP.
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ОПЫТ ЛЕЧЕНИЯ ЭНДОМЕТРИОЗ-АССОЦИИРОВАННОГО ПНЕВМОТОРАКСА https://doi.org/10.24884/0042-4625-2017-176-3-56-60 Аннотация Об авторах В. Г. ПищикРоссия А. Д. Оборнев Россия М. А. Атюков Россия А. С. Петров Россия А. И. Коваленко Россия Список литературы 1. Акопов А. Л., Агишев А. С. Видеоторакоскопическая костальная плеврэктомия при первичном и вторичном спонтанном пневмотораксе // Хирургия. 2012. № 11. С. 15-18. 2. Акопов А. Л., Агишев А. С., Варламов В. В. и др. К вопросу о целесообразности биопсии лёгкого при первичном спонтанном пневмотораксе // Вестник хирургии. 2014. Т. 173, № 1. С. 22-25. 3. Alifano M., Jablonski C., Kadiri H. Catamenial and noncatamenial, endometriosis-related or nonendometriosis-related pneumothorax referred for surgery // Amer. J. Respir. Crit. Care Med. 2007. Vol. 176. P. 1048-1053. 4. Alifano M. R., Trisolini M. D., Cancellieri A., Regnard J. F. Thoracic endometriosis. Current knowledge // Ann. Thorac. Surg. 2006. Vol. 81. P. 761-769. 5. Attaran S., Bille A., Karenovics W., Lang-Lazdunski L. Video-tho raco scopic repair of diaphragm and pleurectomy/abrasion in patients with catamenial pneumothorax. A 9-year experience // Chest. 2013. Vol. 143. P. 1066-1069. 6. Azizad-Pinto P., Clarke D. Thoracic endometriosis syndrome: case report and review of the literature // Perm. J. 2014. 2018. P. 61-65. 7. Bagan P. Catamenial pneumothorax: retrospective study of surgical treatment // Ann. Thorac. Surg. 2003. Vol. 75. P. 378-381. 8. Bobbio. Thoracic endometriosis and catamenial pneumothorax // Eur. Respir. Mon. 2011 Vol. 54. P. 265-281. 9. Bobbio A., Carbognani P., Ampollini L. et al. Diaphragmatic laceration, partial liver herniation and catamenial pneumothorax // Asian. Cardiovasc. Thorac. Ann. 2007. Vol. 15. P. 249-251. 10. Fukuoka M., Kurihara M., Haga T., Ebana H., Kataoka H., Mizobuchi T., Tatsumi K. Clinical characteristics of catamenial and non-catamenial thoracic endometriosis-related pneumothorax // Respirology. 2015. Vol. 20. P. 1272-1276. 11. Harkki P., Jokinen J. J., Salo J. A., Sihvo E. Menstruation related spontaneous pneumothorax and diaphragmatic endometriosis // Acta Obstet. Gynecol. Scand. 2010. Vol. 89. P. 1192-1196. 12. Korom S., Canyurt H. Catamenial pneumothorax revisited: clinical approach and systematic review of the literature // J. Thorac. Cardio vasc. Surg. 2004. Vol. 128. P. 502-508. 13. Legras A., Mansuet-Lupo A., Rousset-Jablonski C., Bobbio A., Magdeleinat P., Roche N., Regnard J. F., Gompel A., Damotte D., Alifano M. Pneumothorax in women of child-bearing age: an update classification based on clinical and pathological findings // Chest. 2014. Vol. 145. P. 354-360. 14. Lillington G. Catamenial pneumothorax // JAMA. 1972. Vol. 219. P. 1328-1332. 15. Majak P., Langebrekke A., Magnus Hagen O., Qvistad E. Catamenial pneumothorax, clinical manifistations - a multidisciplinary challenge // Pneumonol. Allergol. Pol. 2011. Vol. 79, № 5. P. 347-350. 16. Maurer C. R., Schaal J. A., Mendez F.L. Jr. Chronic recurrent spontaneous pneumothorax due to endometriosis of the diaphragm // JAMA. 1958. Vol. 168, № 5. P. 2013-2014. 17. Nezhat C., Main J., Paka C., Nezhat A., Beygui R. E. Multidisciplinaty treatment for thoracic and abdominopelvic endometriosis // JSLS. 2014. Vol. 18. P. 1-7. 18. Rossi N. P., Goplerud C. P. Recurrent catamenial pneumothorax // Arch. Surg. 1974. Vol. 109, № 2. P. 173-176. 19. Rouset-Jablonski C., Alifano M., Plu-Bureau G. et al. Catamenial pneumothorax and endometriosis-related pneumothorax: clinical features and risk factors // Hum. Reprod. 2011. Vol. 26. P. 2322- 2329. 20. Shiraishi T. Catemenial pneumothorax: report of a case and review of the Japanese and non-Japanese literature // Thorac. Cardiovasc. Surgeon. 1991. Vol. 39. P. 304-307. 21. Triponez F., Alifano M., Bobbio A. et al. Endometriosis-related spontaneous diaphragmatic rupture // Interact. Cardiovasc. Thorac. Surg. 2010. Vol. 11. P. 485-487. 22. Van Schil P., Sven R. Catamenial pneumothorax caused by thoracic endometriosis // Ann. Thorac. Surg. 1996. Vol. 62. P. 585-586. 23. Visouli A. N., Darwiche K., Mpakas A., Zarogoulidis P., Papagiannis A., Tsakiridis K. Catamenial pneumothorax: a rare entity? Report of 5 cases and review of the literature. // J. Thorac. Dis. 2012. Vol. 4. P. 17-31. 24. Visouli A. N., Zarogoulidis P., Kougioumtzi I. et al. Catamenial pneu mothorax // J. Thor. Dis. 2014. Vol. 6. P. 448-460. Рецензия Для цитирования: Пищик В.Г., Оборнев А.Д., Атюков М.А., Петров А.С., Коваленко А.И. ОПЫТ ЛЕЧЕНИЯ ЭНДОМЕТРИОЗ-АССОЦИИРОВАННОГО ПНЕВМОТОРАКСА. Вестник хирургии имени И.И. Грекова. 2017;176(3):56-60. https://doi.org/10.24884/0042-4625-2017-176-3-56-60 For citation: Pishchik V.G., Obornev A.D., Atyukov M.A., Petrov A.S., Kovalenko A.I. Experience of treatment of endometriosisrelated pneumothorax. Grekov's Bulletin of Surgery. 2017;176(3):56-60. (In Russ.) https://doi.org/10.24884/0042-4625-2017-176-3-56-60 JATS XML

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