Successful conservative treatment of catamenial pneumothorax with GnRH agonist

D. Lolis, George Adonakis, Emmanouil Kontostolis, J. Pneumatikos, Vasiliki Malamou‐Mitsi
In: Archives of Gynecology and Obstetrics · 1995 · vol. 256(3) , pp. 163–166 · doi:10.1007/s004040050086 · W4246810419
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

A woman with recurrent catamenial pneumothorax and suspected pleural endometriosis was treated with a GnRH agonist for nine months and remained asymptomatic 12 months after treatment cessation.

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

This case report describes a 34-year-old woman with recurrent catamenial pneumothorax in whom pleural endometriosis was suspected; cytology of right pleural fluid showed glandular cell clusters of probable endometrial origin. The patient was treated with a long-acting GnRH agonist (triptorelin) 3.75 mg intramuscularly monthly for nine months and remained asymptomatic with regular periods 12 months after stopping treatment. The paper’s main caveat is that it provides evidence from a single patient and relies on diagnostic suspicion and cytologic findings rather than definitive lesion confirmation. This paper is centrally about endometriosis — it reports conservative hormonal treatment of catamenial pneumothorax attributed to pleural endometriosis.

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Abstract

A thirty four year old woman with recurrent catamenial pneumothorax is described. Pleural endometriosis was suspected and cytologic examination of fluid drained from the right pleural cavity showed glandular cell clusters of probable endometrial origin. The patient received a long-acting GnRH agonist (Triptorelin-Arvekap-Ipsen) 3.75 mg/month I.M. for nine months and remains asymptomatic with regular periods 12 months after discontinuing the treatment. Similar content being viewed by others

References

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