scholarly journals Catamenial pneumothorax due to pulmonary endometriosis

2021 ◽  
Vol 107 (01) ◽  
pp. 24-27
Author(s):  
Ásdís Kristjánsdóttir ◽  
◽  
Gunnar Mýrdal ◽  
Margrét Sigurðardóttir ◽  
Reynir Tómas Geirsson ◽  
...  
Keyword(s):  
Chest Pain ◽  
Chronic Condition ◽  
Menstrual Pain ◽  
Chemical Pleurodesis ◽  
Catamenial Pneumothorax ◽  
Appropriate Treatment ◽  
Pulmonary Endometriosis ◽  
Irregular Bleeding

Endometriosis is a chronic condition causing menstrual pain, irregular bleeding and infertility among women. Although usually in the pelvis, it can manifest in atypical places. We describe a 39-year old woman with a previous endometriosis diagnosis who presented three times on the second menstrual day with dyspnea and chest pain. Imaging showed right-sided pneumothorax on all three occasions. Thoraco­scopy revealed endometriosis-like lesions. Histology was suggestive of endometriosis. After treatment with chemical pleurodesis and hormonal suppression she has remained symptom-free. Diagnosis should be obtained by concomitant thoraco- and laparoscopy with biopsies to verify the disease and give a basis for appropriate treatment.

Syncope and palpitations

2010 ◽  
pp. 2636-2642
Author(s):  
K. Rajappan ◽  
A.C. Rankin ◽  
A.D. McGavigan ◽  
S.M. Cobbe
Keyword(s):  
Heart Disease ◽  
Chest Pain ◽  
Cardiac Death ◽  
Cerebral Hypoperfusion ◽  
Loss Of Consciousness ◽  
Past Medical History ◽  
Cardiac Syncope ◽  
Appropriate Treatment ◽  
Cardiac Condition ◽  
History Of

Syncope is a transient episode of loss of consciousness (T-LOC) due to cerebral hypoperfusion. Its causes can be subdivided on the basis of pathophysiology, including (1) neurally mediated—or reflex—syncope; (2) orthostatic hypotension; (3) cardiac causes; and (4) cerebrovascular or psychogenic causes. Neurocardiogenic syncope, or simple faint, is the commonest cause and is benign, but it is always important to exclude or establish the diagnosis of cardiac syncope, because this has an adverse prognosis that may be improved with appropriate treatment. Cardiac arrhythmia should be considered in all patients who have syncope associated with any of the following: (1) exertion, chest pain, or palpitations; (2) a past medical history of heart disease; (3) abnormal cardiovascular findings on examination; (4) an abnormal ECG; and (5) a family history of sudden cardiac death in people younger than 40 years old or with an inherited cardiac condition....

Chest Pain

2014 ◽  
Vol 25 (3) ◽  
pp. 279-283
Author(s):  
Joan E. King ◽  
Kathy S. Magdic
Keyword(s):  
Chest Pain ◽  
Treatment Plan ◽  
Tension Pneumothorax ◽  
Differential Diagnoses ◽  
Coronary Syndrome ◽  
Satisfaction Of Search ◽  
Appropriate Treatment ◽  
Life Threatening ◽  
Valvular Diseases ◽  
Gastric Reflux

When a patient complains of chest pain, the first priority is to establish whether the situation is life threatening. Life-threatening differential diagnoses that clinicians must consider include acute coronary syndrome, cardiac tamponade, pulmonary embolus, aortic dissection, and tension pneumothorax. Nonthreatening causes of chest pain that should be considered include spontaneous pneumothorax, pleural effusion, pneumonia, valvular diseases, gastric reflux, and costochondritis. The challenge for clinicians is not to be limited by “satisfaction of search” and fail to consider important differential diagnoses. The challenge, however, can be met by developing a systematic method to assess chest pain that will lead to the appropriate diagnosis and appropriate treatment plan.

Catamenial pneumothorax due to heterotopic endometriosis in the pericardium

2021 ◽  
Vol 14 (2) ◽  
pp. e240335
Author(s):  
Yuki Takigawa ◽  
Daisuke Mizuno ◽  
Norichika Iga ◽  
Nobukazu Fujimoto
Keyword(s):  
Chest Pain ◽  
Progesterone Receptor ◽  
Polyglycolic Acid ◽  
Medical Examination ◽  
X Ray ◽  
Catamenial Pneumothorax ◽  
Polyglycolic Acid Sheet ◽  
Chest X Ray ◽  
The Right ◽  
Grade Iii

A 46-year-old woman presented with a right pneumothorax at a regular medical examination during menstruation. The pneumothorax resolved without intervention; however, 6 months later, she was referred to our hospital due to chest pain and dyspnoea. A chest X-ray showed grade III pneumothorax and surgery was performed. During surgery, the patient was found to have pleural adhesions around the right upper lung, pores in the diaphragm and a blueberry spot in the pericardium. The margins of the upper lobe and diaphragm were covered with a polyglycolic acid sheet at the operation. Eight days after surgery, she was referred to our hospital again due to massive haemothorax. The reoperation suggested that the aforementioned blueberry spot in the pericardium was the source of bleeding. The spot was resected and shown to be oestrogen and progesterone receptor-positive, providing evidence of heterotopic endometriosis.

Catamenial Pneumothorax Due to Bilateral Pulmonary Endometriosis

2012 ◽  
Vol 57 (7) ◽  
pp. 1182-1185 ◽  
Author(s):  
Hsin-Yuan Fang ◽  
Chia-Ing Jan ◽  
Chien-Kuang Chen ◽  
William Tzu-Liang Chen
Keyword(s):  
Catamenial Pneumothorax ◽  
Pulmonary Endometriosis

scholarly journals Pulmonary Embolism presenting as Syncope

2015 ◽  
Vol 12 (1) ◽  
pp. 37-41
Author(s):  
Dipak Mall ◽  
Yang Shaning
Keyword(s):  
Myocardial Infarction ◽  
Emergency Department ◽  
Pulmonary Embolism ◽  
Differential Diagnosis ◽  
Chest Pain ◽  
Cardiac Care ◽  
Appropriate Treatment

The diagnosis of Pulmonary embolism can easily be missed if it is not considered as one of the major differential diagnosis in a case of syncope without chest pain. We describe a case of a 74years old female with pulmonary embolism induced syncope, which highlights one of the difficulties in diagnosing pulmonary embolism. In a patient presenting in syncope without chest pain but raised troponin, the possibility of pulmonary embolism should also be considered if it does not fit with myocardial infarction. Otherwise, the diagnosis can be easily missed and patients may not receive appropriate treatment resulting in increased mortality. Pulmonary embolism should be considered in the differential diagnosis of every syncopal event in Emergency department and Cardiac care units. DOI: http://dx.doi.org/10.3126/njh.v12i1.12343 Nepalese Heart Journal Vol.12(1) 2015: 37-41

scholarly journals Endometriosis: An Unusual Cause of Bilateral Pneumothoraces

2020 ◽  
Vol 4 (1) ◽  
pp. 35-37
Author(s):  
Christopher Sampson ◽  
Kathleen White
Keyword(s):  
Emergency Department ◽  
Chest Pain ◽  
Respiratory Distress ◽  
Chest Radiograph ◽  
Spontaneous Pneumothorax ◽  
Sudden Onset ◽  
Shortness Of Breath ◽  
Pelvic Endometriosis ◽  
Catamenial Pneumothorax

A 27-year-old female presented to the emergency department with sudden onset shortness of breath. A diagnosis of bilateral catamenial pneumothoraces was made following chest radiograph. Catamenial pneumothorax is a recurrent spontaneous pneumothorax that occurs in 90% of affected women 24-48 hours after the onset of their menstruation; 30-50% of cases have associated pelvic endometriosis. Symptoms can be as simple as chest pain or as severe as the presentation of this patient who was initially found to be in significant respiratory distress.

scholarly journals Recurrent Spontaneous Pneumothorax in a 47-Year-Old Woman

2020 ◽  
Vol 185 (9-10) ◽  
pp. e1833-e1835
Author(s):  
Timothy M Guenther ◽  
Joshua D Gustafson ◽  
Shea M Pribyl ◽  
Curtis J Wozniak
Keyword(s):  
Emergency Room ◽  
Medical History ◽  
Spontaneous Pneumothorax ◽  
Treatment Strategies ◽  
Middle Lobe ◽  
Past Medical History ◽  
Chemical Pleurodesis ◽  
Catamenial Pneumothorax ◽  
Chest Cavity ◽  
History Of

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.

Refractory thoracic endometriosis

2020 ◽  
Vol 13 (8) ◽  
pp. e235965
Author(s):  
Nishant Sharma ◽  
Pandi Todhe ◽  
Pius Ochieng ◽  
Srinivasarao Ramakrishna
Keyword(s):  
Pleural Effusion ◽  
Hormonal Treatment ◽  
Young Female ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Chemical Pleurodesis ◽  
Catamenial Pneumothorax ◽  
Recurrent Pneumothorax ◽  
Thoracic Endometriosis

Thoracic endometriosis syndrome (TES) is a rare entity caused by thoracic implantation of endometrial tissue, manifesting as catamenial pneumothorax, pleural effusion and haemoptysis in young female individuals. Its management and long-term prevention of recurrences, can be challenging. We present the case of a young woman who presented with recurrent pneumothorax, haemopneumothorax and pleural effusion. The diagnosis of TES was confirmed based on cytological findings of pleural fluid. She underwent treatment with mechanical pleurodesis twice but continued to have recurrences. Hormonal treatment failed to produce a satisfactory resolution. She underwent chemical pleurodesis, which successfully induced remission of her TES. A review of the literature suggests that chemical pleurodesis produces better results compared with mechanical pleurodesis and that hormonal treatment with gonadotropin-releasing hormone agonists is effective at preventing recurrences.

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