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Preventing Recurrence: Optimal Surgical and Medical Management of Catamenial Pneumothorax

posted on 2017-11-06, 20:58 authored by James M. Clark, Lisa M. Brown, Sarah Holmes, David T. Cooke, Elizabeth A. David

The authors describe the successful surgical and medical management of a young woman with recurrent catamenial pneumothoraxes. A 34-year-old woman was referred to thoracic surgery clinic for recurrent episodes of dyspnea. She stopped taking oral contraceptive pills at the age of 30, shortly after which she began having recurrent episodes of dyspnea, cough, and dysmenorrhea. She underwent a diagnostic laparoscopy with evidence of pelvic endometriosis. She was found to have a right pneumothorax and had a chest tube placed. The pneumothorax persisted and she underwent a VATS blebectomy and decortication at an outside hospital.

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Figure 1. Selected images of the patient’s preoperative computed tomography imaging showing her right apical and basilar pneumothoraxes and pigtail thoracostomy tube.

Figure 2. The patient’s 14-month postoperative chest x-ray showing no recurrence of her pneumothorax.


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