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Revista Peruana de Ginecología y Obstetricia

On-line version ISSN 2304-5132

Abstract

REYNA-VILLASMIL, Eduardo; TORRES-CEPEDA, Duly  and  RONDON-TAPIA, Martha. Recurrent catamenial pneumothorax. Case report. Rev. peru. ginecol. obstet. [online]. 2020, vol.66, n.3, 00015. ISSN 2304-5132.  http://dx.doi.org/10.31403/rpgo.v66i2263.

Catamenial pneumothorax is a rare and complex clinical condition that should be considered as a cause of spontaneous and recurrent pneumothorax that is often misdiagnosed. It is a pulmonary pathology commonly associated with menstruation since it occurs within 72 hours before or after the onset of menstrual bleeding. The etiology and the exact underlying mechanism have not been identified, but it could be a rare form of extra-pelvic endometriosis characterized by the presence of functional endometrial tissue in the pleura, pulmonary parenchyma, and respiratory tract. Diagnosis is a challenge, so it can result in recurrences. It should be suspected in young women of childbearing age. The first line of treatment is medical, while surgical treatment is necessary to avoid recurrence. A case of recurrent catamenial pneumothorax is presented.

Keywords : Catamenial pneumothorax; Endometriosis; Thoracic endometriosis; Pneumothorax.

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