1. tbl. 107. árg. 2021

Catamenial pneumothorax due to pulmonary endometriosis

Tíðatengt loftbrjóst vegna endómetríósu í lunga - sjúkratilfelli

Ásdís Kristjánsdóttir1

Gunnar Mýrdal2

Margrét Sigurðardóttir3

Reynir Tómas Geirsson4


1Faculty of Medicine, School of Health Sciences, University of Iceland, 2Department of Surgery, Landspitali University Hospital, 3Department of Pathology, Landspitali University Hospital, 4Department of Obstetrics and Gynecology, Women´s Clinic, Landspitali University Hospital.

Correspondence: Ásdís Kristjánsdóttir, ask41@hi.is

Key words: endometriosis, pneumothorax, thoracic complications, pleurodesis.

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.

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