Catamenial pneumothorax caused by thoracic endometriosis

Paolo Maniglio, MD; Enzo Ricciardi, MD; Federica Meli, MD; Salvatore Giovanni Vitale, MD; Marco Noventa, MD; Amerigo Vitagliano, MD; Gaetano Valenti, MD; Valentina Lucia La Rosa, PsyD; Antonio Simone Laganà, MD; Donatella Caserta, MD

doi:10.1016/j.radcr.2017.09.003

Radiology Case Reports (Feb 2018)

Catamenial pneumothorax caused by thoracic endometriosis

Paolo Maniglio, MD,
Enzo Ricciardi, MD,
Federica Meli, MD,
Salvatore Giovanni Vitale, MD,
Marco Noventa, MD,
Amerigo Vitagliano, MD,
Gaetano Valenti, MD,
Valentina Lucia La Rosa, PsyD,
Antonio Simone Laganà, MD,
Donatella Caserta, MD

Affiliations

Paolo Maniglio, MD: Surgical and Medical Department of Translational Medicine, Sant'Andrea Hospital, Faculty of Medicine and Psycology, University of Rome “Sapienza”, Via di Grottarossa 1035, 00139 Rome, Italy
Enzo Ricciardi, MD: Department of Gynecological Surgery, European Institute of Oncology, Via Ripamonti 435, 20141 Milan, Italy
Federica Meli, MD: Surgical and Medical Department of Translational Medicine, Sant'Andrea Hospital, Faculty of Medicine and Psycology, University of Rome “Sapienza”, Via di Grottarossa 1035, 00139 Rome, Italy
Salvatore Giovanni Vitale, MD: Unit of Gynecology and Obstetrics, Department of Human Pathology in Adulthood and Childhood “G. Barresi”, University of Messina, Via Consolare Valeria 1, 98125 Messina, Italy
Marco Noventa, MD: Department of Woman and Child Health, University of Padua, Via Giustiniani 3, 35128, Padua, Italy
Amerigo Vitagliano, MD: Department of Woman and Child Health, University of Padua, Via Giustiniani 3, 35128, Padua, Italy
Gaetano Valenti, MD: Department of General Surgery and Medical Surgical Specialties, University of Catania, Via Santa Sofia 78, 95124 Catania, Italy
Valentina Lucia La Rosa, PsyD: Unit of Psychodiagnostics and Clinical Psychology, University of Catania, Via Santa Sofia 78, 95124 Catania, Italy
Antonio Simone Laganà, MD: Unit of Gynecology and Obstetrics, Department of Human Pathology in Adulthood and Childhood “G. Barresi”, University of Messina, Via Consolare Valeria 1, 98125 Messina, Italy
Donatella Caserta, MD: Surgical and Medical Department of Translational Medicine, Sant'Andrea Hospital, Faculty of Medicine and Psycology, University of Rome “Sapienza”, Via di Grottarossa 1035, 00139 Rome, Italy

DOI: https://doi.org/10.1016/j.radcr.2017.09.003
Journal volume & issue: Vol. 13, no. 1
pp. 81 – 85

Abstract

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Background: Thoracic endometriosis syndrome is a rare form of extrapelvic endometriosis characterized by the presence of functioning endometrial tissue in pleura, lung parenchyma, and airways, associated with a high rate of infertility. Case Report: We have reported a case of successful management and treatment of thoracic endometriosis syndrome that occurred in a 37-year-old female patient. She underwent thoracoscopic resection of the lesion. During follow-up, we revealed the recurrence of a previously surgically treated thoracic endometriosis. She was initially treated with a gonadotropin-releasing hormone agonist; subsequently this was replaced by a prophylactic treatment with Dienogest. Conclusion: The diagnosis of thoracic endometriosis is challenging. The first line of treatment is medical, whereas the surgical treatment is performed secondly. Moreover, surgical treatment can lead to a significant rate of recurrence, often reduced by a coadjutant medical treatment.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: http://www.journals.elsevier.com/radiology-case-reports/

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