Recurrent Spontaneous Pneumothorax in a 47-Year-Old Woman.

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 Med

journal_title

Military medicine

authors

Guenther TM,Gustafson JD,Pribyl SM,Wozniak CJ

doi

10.1093/milmed/usz468

subject

Has Abstract

pub_date

2020-09-18 00:00:00

pages

e1833-e1835

issue

9-10

eissn

0026-4075

issn

1930-613X

pii

5873736

journal_volume

185

pub_type

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