Abstract:
:Pneumothorax is a condition where air exists in the chest cavity, outside the lung. The causes of pneumothorax are numerous and determining the etiology can aid in treatment and prevent recurrence. We describe a 47-year-old female patient with past medical history of endometriosis who presented to the emergency room with recurrent right sided pneumothorax, its onset correlating with onset of menses. She underwent video assisted thorascopic surgery for a suspected catamenial pneumothorax whereby nodular "chocolate" appearing areas were noted on the middle lobe and multiple similar appearing lesions and fenestrations were noted on the diaphragm. A biologic mesh was affixed to the diaphragm after which mechanical and chemical pleurodesis were performed. She tolerated the procedure well and has been symptom free since. Herein, we review the pathophysiology, diagnosis, and treatment strategies for catamenial pneumothorax in the hopes of increasing awareness and understanding of this rare cause of spontaneous pneumothorax.
journal_name
Mil Medjournal_title
Military medicineauthors
Guenther TM,Gustafson JD,Pribyl SM,Wozniak CJdoi
10.1093/milmed/usz468subject
Has Abstractpub_date
2020-09-18 00:00:00pages
e1833-e1835issue
9-10eissn
0026-4075issn
1930-613Xpii
5873736journal_volume
185pub_type
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