[Flow chart of the diagnosis and treatment of a case of catamenial pneumothorax]

Tanimura S, Shigeo Tanimura, S Tanimura, Takada K, Kohei Takada, K Takada, Hiroshi Tomoyasu, H Tomoyasu, Tomoyasu H, Banba J, J Banba, M Masaki, Masaki Miyasaka, Masaki M, Matsushita H, H Matsushita, Hirokazu Matsushita
Nihon Kyobu Shikkan Gakkai zasshi · 1991 · vol. 29(9) , pp. 1206–10 · PMID:1753550 · W6000259
Case report OA: closed CC0 ⤵ 3 in-corpus citations
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This case study details the diagnosis and treatment of catamenial pneumothorax in a 44-year-old female, presenting a diagnostic and treatment flowchart based on findings of diaphragmatic defects and pelvic endometriosis.

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Abstract

A 44-year-old female had sudden cough during menstruation. She visited a clinic and mild right pneumothorax was pointed out on chest X-ray. She was admitted to our hospital for continuous pneumothorax and tube drainage was performed. Although pneumothorax improved within a week after drainage, catamenial pneumothorax was suspected because her serum CA 125 showed a high value of 109 U/ml. Therefore diagnostic pneumoperitoneum was performed during the next menstruation, and right pneumothorax occurred. Laparoscopy revealed pelvic endometriosis and thoracoscopy revealed a few small holes in the right diaphragm. The case was diagnosed as catamenial pneumothorax and hormonal treatment was given. She had been well for one year without recurrence of pneumothorax. The authors made a flow chart for diagnosis and treatment based on this case and discussed its value in relation to cases described in the literature.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Menstruation Menstruation Pneumothorax Research Design Research Design Uterine Neoplasms Adult Adult Danazol Danazol Danazol Drainage Drainage Endometriosis Endometriosis Endometriosis Female Female Humans

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License: CC0 · commercial use OK