Catamenial pneumothorax (a Case Report)


Mohammad Ali Hessami 1 , * , Sh Goodarzi 1

1 Iran

How to Cite: Hessami M A, Goodarzi S. Catamenial pneumothorax (a Case Report), J Kermanshah Univ Med Sci. 2009 ; 12(4):e79951.


Journal of Kermanshah University of Medical Sciences: 12 (4); e79951
Published Online: March 19, 2009
Article Type: Case Report
Received: November 18, 2007
Accepted: August 10, 2008


Introduction: Catamenial pneumothorax is a rare disease caused by presence of endometrial tissues in chest cavity  showing itself with pneumothorax 24 to 48 hours after  the beginning of menstrual period .

 A case of Catamenial pneumothorax is presented here.

Case presentation: The case was a 17-year-old young woman admitted to hospital with symptoms and signs including chest pain, dyspnea, tachypnea and decreased breath sounds in right hemithorax started with her menstrual period. The patient had a history of similar attacks in her previous menstrual periods. Right pneumothorax was observed in the x-ray. Tube thoracostomy was inserted and chemical pleurodesis was administered. Treatment with decapeptil (GNRH analog) injection continued for 6 months.

Conclusion: Diagnosis of the disease is clinical.  Early diagnosis and treatment is recommended for all the patients in reproductive ages with dyspne, chest pain and pneumothorax  as well as a history of recurring symptoms during the previous menstrual periods.


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