Catamenial pneumothorax
Revisión del 22:00 13 may 2015 de Rossdonaldson1 (discusión | contribs.)
Background
- Definition: Spontaneous, recurrent pneumothorax in women of reproductive age, occurring in temporal relationship with menses[1]
- Caused by endometriosis of the pleura[1]
- 3-6% of pneumothoraxes in women[1]
- A form of thoracic endometriosis syndrome
Clinical Features
- Spontaneous pneumothorax symptoms <72 hours after menstruation
- Exclusively in women of menstrual age (typically 30–40 years)
- History of endometriosis
Differential Diagnosis
Pneumothorax Types
Diagnosis
Management
Unstable
- Needle decompresion followed by chest tube insertion
Stable
- Tube thoracostomy
- Surgery and hormonal treatment[1]
Disposition
- Admission