Cited by 11Endometriosis Research and TreatmentPleural and Pulmonary DiseasesMedical Imaging and Pathology Studies

Catamenial pneumothorax recurrence due to endometriosis

Open access
Tsakiridis, Kosmas, Triantafilopoulou, Konstantina, Minadakis, George, Zatagias, Apostolos, Sapalidis, Konstantinos, Kosmidis, Christoforos, Ioannidis, Aris, Romanidis, Konstantinos +8 more·2020·Respiratory Medicine Case Reports

Abstract

Catamenial pneumothorax (CP) is considered to be the most common form of thoracic endometriosis syndrome, which also includes catamenial hemothorax, catamenial hemopneumothorax, catamenial hemoptysis, and endometriosis lung nodules. Diagnosis can be hinted by high recurrence rates of lung collapse in a woman of reproductive age with endometriosis. In our case we present a 41 year old woman at the time of the second incidence with a left pneumothorax and holes in the pericardium in the diaphragm location. Laparoscopic evaluation was performed along with video-assisted thoracoscopy and treatment was performed with both techniques.

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Crossref · 10.1016/j.rmcr.2020.101036

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  • Hormonal therapies continue to form the foundation of management for endometriosis, particularly when complete surgical excision is impractical or contraindicated.

    “Hormonal therapies continue to form the foundation of management, particularly in scenarios where complete surgical excision is either impractical or contraindicated.”

    From Endometriosis and Cardiovascular Disease: Exploring Pathophysiological Interconnections and Risk Mechanisms (2025) · cites this paper as [41]

    The Discussion (page unavailable) recommends hormonal treatment as an adjunct to surgery to prevent recurrence of catamenial or endometriosis-related pneumothorax. It does not describe hormonal therapy as the foundation of endometriosis management generally or recommend it specifically when surgical excision is impractical or contraindicated. (LLM, conf=0.88)

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  • Individuals with undiagnosed thoracic endometriosis often present with symptoms that mimic cardiovascular conditions, such as chest discomfort, shortness of breath, and palpitations, leading to repeated emergency visits and unnecessary cardiac evaluations.

    “Affected individuals often present with symptoms that mimic cardiovascular conditions—such as chest discomfort, shortness of breath, and palpitations, leading to repeated emergency visits and unnecessary cardiac evaluations.”

    From Endometriosis and Cardiovascular Disease: Exploring Pathophysiological Interconnections and Risk Mechanisms (2025) · cites this paper as [41]

    Split into 2 atoms — 0 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 1 unverifiable. Expand the claim to see per-atom verdicts.

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  • GnRH agonists, progestogens, and combined oral contraceptives are commonly used to suppress endogenous estrogen production, thereby attenuating the proliferation and activity of ectopic endometrial lesions.

    “Medications such as gonadotropin-releasing hormone (GnRH) agonists, progestogens, and combined oral contraceptives are commonly used to suppress endogenous estrogen production, thereby attenuating the proliferation and activity of ectopic endometrial lesions”

    From Endometriosis and Cardiovascular Disease: Exploring Pathophysiological Interconnections and Risk Mechanisms (2025) · cites this paper as [41]

    The Discussion recommends postoperative hormonal treatment, specifically a GnRH analogue, for catamenial or endometriosis-related pneumothorax. It does not mention progestogens or combined oral contraceptives, or state that these treatments suppress estrogen production and thereby reduce the proliferation or activity of ectopic lesions. No page number is available in our copy. (LLM, conf=0.87)

    Experimental — accuracy not yet measured
  • Timely and accurate identification of thoracic endometriosis combined with personalized treatment plans mitigates physical symptoms and offers meaningful psychological benefits.

    “Timely and accurate identification of the disease, combined with personalized treatment plans, not only mitigates physical symptoms but also offers meaningful psychological benefits.”

    From Endometriosis and Cardiovascular Disease: Exploring Pathophysiological Interconnections and Risk Mechanisms (2025) · cites this paper as [41]

    The Discussion says early investigation and treatment are important and that multidisciplinary surgical and hormonal management can help prevent recurrence of endometriosis-related pneumothorax. This supports the physical-health portion of the claim, but the paper does not report psychological benefits. Page numbers were not supplied in our copy. (LLM, conf=0.86)

    Experimental — accuracy not yet measured
  • Diagnostic ambiguity in thoracic endometriosis contributes to increased psychological distress and deteriorated quality of life.

    “This diagnostic ambiguity contributes to increased psychological distress and deteriorated quality of life.”

    From Endometriosis and Cardiovascular Disease: Exploring Pathophysiological Interconnections and Risk Mechanisms (2025) · cites this paper as [41]

    The Discussion describes ambiguity in classifying catamenial and endometriosis-related pneumothorax, but does not connect it to psychological distress or quality of life. Searches for psychological distress, mental health, and quality of life found no passage addressing those outcomes. (LLM, conf=0.73)

    Experimental — accuracy not yet measured

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Authors
Tsakiridis, K., Triantafilopoulou, K., Minadakis, G., Zatagias, A., Sapalidis, K., Kosmidis, C., Ioannidis, A., Romanidis, K., Oikonomou, P., Sevva, C., Michalopoulos, N., Katsios, I. N., Goganau, A. M., Platanas, M., Vagionas, A., & Zarogoulidis, P.
Affiliations
  • Interbalkan Medical Center (GR)
  • AHEPA University Hospital (GR)
  • Euromedica (GR)
  • Democritus University of Thrace (GR)
Corresponding author
Zarogoulidis, Paul
Venue
Respiratory Medicine Case Reports
Publisher
Elsevier BV
Published
2020
Volume
30
Pages
101036
ISSN
2213-0071 (ISSN-L)
OpenAlex
W3009516381
Cited by
11
References
9
Citations by year
2026: 2 · 2025: 3 · 2024: 1 · 2023: 1 · 2022: 1 · 2020: 3
FWCI
1.10
Type
journal article
Language
en
Open access
Locations
  • Respiratory Medicine Case Reports (publishedVersion, cc-by-nc-nd)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Pleural and Pulmonary Diseases
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Medical Imaging and Pathology Studies
Keywords
catamenial pneumothorax, recurrent pneumothorax, thoracic endometriosis, catamenial hemoptysis, video-assisted thoracoscopic surgery, laparoscopic surgery, women of reproductive age

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