Diaphragmatic patch: A useful adjunct in surgical treatment of recurrent catamenial hemothorax
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A diaphragmatic patch adjunct to talc pleurodesis effectively treated recurrent catamenial hemothorax in two patients by sealing potential fenestrations and preventing recurrence.
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Abstract
Although catamenial hemothorax compared to pneumothorax is a rarer clinical presentation of thoracic endometriosis syndrome (TES), it is more commonly associated with diaphragmatic fenestrations. These openings may serve as entry portals for peritoneal fluid to access into the pleural space thereby perpetuating recurrent pleural effusion even after prior surgical pleurodesis. We report our experience with two patients with recurrent right catamenial hemothorax after previous interventions that were subsequently treated by talc pleurodesis and goretex diaphragmatic patch, and who have had no further recurrence at a mean follow up of 15 months. We therefore recommend that diaphragmatic patch should be considered as an adjunct to talc pleurodesis in patients with recurrent catamenial hemothorax when either multiple diaphragmatic fenestrations are seen at surgery or if there is concomitant bloody peritoneal fluid which could potentially lead to recurrence. The patch by sealing any occult pores and possible future fenestrations appear to decrease recurrent pleural effusion at an intermediate term follow up.
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References (6)
- Catamenial pneumothorax: retrospective study of surgical treatment via openalex
- Catamenial pneumothorax revisited: Clinical approach and systematic review of the literature via openalex
- Catamenial pneumothorax revisited: Clinical approach and systematic review of the literature via openalex
- Thoracic endometriosis: A review and report of two cases via openalex
- Thoracic Endometriosis: Current Knowledge via openalex
- Thoracic endometriosis syndrome: New observations from an analysis of 110 cases via openalex
Cited by (9)
- De novo thoracic endometriosis in a menopausal women 2023
- Laparoscopic therapy as a treatment for diaphragmatic endometriosis 2023
- Pleural effusion secondary to endometriosis: A systematic review 2023
- Endometriosis-Related Pleural Effusion: A Case Report and a PRISMA-Compliant Systematic Review 2021
- Clinical Presentation and Management of Endometriosis-Related Hemorrhagic Ascites: A Case Report and Systematic Review of the Literature 2021
- The role of imaging as a guide to the surgical treatment of endometriosis 2020
- Thoracic endometriosis syndrome in Nigeria: a single-centre experience 2020
- A case report of thoracic endometriosis – A rare cause of haemothorax 2017
- Thoracic Endometriosis Syndrome: Case Report and Review of the Literature 2014
Source provenance
- europepmc
- last seen: 2026-06-04T01:30:01.192114+00:00
- openalex
- last seen: 2026-06-04T00:00:01.174412+00:00
- pubmed
- last seen: 2026-05-13T22:16:35.898691+00:00
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