Recurring Catamenial Pneumothorax Treated with a Gn-RH Analogue
Abstract
We report a case of recurring catamenial pneumothorax with concurrent pelvic endometriosis. Thoracoscopy revealed a blue-like lesion on top of the dome of the right hemidiaphragm. Microscopic examination of biopsy specimens showed endometriosis. The patient was treated with a Gn-RH analogue and remains well without further evidence of pneumothorax after six months.
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Bronchoscopy, thoracoscopic biopsies, and cytological washings are often limited because endometrial implants tend to lie peripherally rather than along the mucosa of large bronchi.
“Bronchoscopy, thoracoscopic biopsies, and cytological washings are often limited due to the propensity of endometrial implants to lie peripherally rather than along the mucosa of large bronchi.35,45–48”
From Thoracic Endometriosis Syndrome: A Review of Diagnosis and Management (2019) · cites this paper as [48]
GnRH analogs are highly effective in suppressing the hypothalamic-pituitary-ovarian axis and the growth of endometrial-like cells, but can be associated with menopausal-like symptoms and osteoporosis.
“Typically, gonadotropin-releasing hormone (GnRH) analogs are used first-line, as they are highly effective in suppressing the hypothalamic-pituitary-ovarian axis and the growth of endometrial-like cells, but they can be associated with the development of menopausal-like symptoms and osteoporosis.8,12,48,52,53”
From Thoracic Endometriosis Syndrome: A Review of Diagnosis and Management (2019) · cites this paper as [48]
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- Authors
- Slabbynck, H., Laureys, M., Impens, N., DeVroey, P., & Schandevyl, W.
- Affiliations
- Vrije Universiteit Brussel (BE)
- Corresponding author
- Slabbynck, Hans
- Venue
- Chest
- Publisher
- Elsevier BV
- Published
- 1991-09
- Volume
- 100
- Issue
- 3
- Pages
- 851
- ISSN
- 0012-3692 (ISSN-L)
- OpenAlex
- W1999372816
- Cited by
- 30
- References
- 8
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2021: 1 · 2019: 1 · 2017: 2 · 2016: 2 · 2014: 1 · 2013: 1
- FWCI
- 0.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- CHEST Journal (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Pleural and Pulmonary Diseases
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Pneumothorax, Barotrauma, Emphysema
- Keywords
- catamenial pneumothorax, recurrent pneumothorax, pelvic endometriosis, GnRH analogues, GnRH agonist, thoracoscopy, endometriosis
- MeSH terms
- Adult, Buserelin, Endometriosis, Female, Humans, Menstruation, Pleural Neoplasms, Pneumothorax, Recurrence, Goserelin
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