Extraperitoneal endometriosis with catamenial pneumothoraces: a review of the literature.

Lisa M Roberts, Jay Redan, Harry Reich
JSLS : Journal of the Society of Laparoendoscopic Surgeons · 2004 · vol. 7(4) , pp. 371–5 · PMID:14626406 · W295175107
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case review details a patient with recurrent catamenial pneumothorax and diaphragmatic endometriosis, highlighting diagnosis and management including thoracoscopic excision and pleurectomy.

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Abstract

OBJECTIVE: To present a case of recurrent catamenial pneumothorax and diaphragmatic endometriosis that was managed thoracoscopically. A review of the literature is also presented. METHODS: A-28-year-old woman presented with bloody stools, chronic constipation, and chest pain. A review of systems was positive for monthly chest pain associated with her menses. A preoperative chest x-ray revealed a right pneumothorax. Colonoscopy revealed biopsy proven endometriosis of the sigmoid colon. A pelvic computed tomography scan revealed bilateral complex, cystic and solid adenexal lesions. RESULTS: A right thoracoscopy was performed. A lesion on the right hemidiaphragm was excised and confirmed to be endometriosis. A wedge section of lung tissue containing a bleb was resected and also contained endometriosis. Three months later, the patient underwent laparoscopic excision of her pelvic endometriosis, including a low anterior rectal resection. Five months later, she presented again with right-sided chest pain. A thoracoscopic right total pleurectomy was performed for recurrent pneumothorax. CONCLUSION: Pullmonary endometriosis may present as chest pain, shortness of breath, or hemoptysis associated with menstrual cycles. This case emphasizes the importance of a careful review of systems in patients with known endometriosis. Management now includes an endoscopic alternative and all of its known benefits.

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Condition tags

mesh:D004715endometriosisthoracic_endometriosis

MeSH descriptors

Endometriosis Endometriosis Pneumothorax Sigmoid Diseases Thoracoscopy Adult Diaphragm Digestive System Diseases Digestive System Diseases Digestive System Diseases Endometriosis Female Humans Pneumothorax Pneumothorax Radiography Recurrence Sigmoid Diseases Sigmoid Diseases Thoracoscopy

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (32)

Cited by (18)

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License: CC0 · commercial use OK