Catamenial Pneumothorax as the First Expression of Thoracic Endometriosis Syndrome and Pelvic Endometriosis
Open accessAbstract
Objective: The menstrual-related catamenial pneumothorax (CP) can be the first expression of thoracic endometriosis syndrome (TES), which is the presence of endometriotic lesions in the lungs and pleura, and pelvic endometriosis (PE). This study aims to analyze our experience with this specific correlation describing our multidisciplinary approach to CP. Methods: Hospital records of 32 women, operated for CP at our Department from January 2001 to December 2021 were reviewed. Surgical treatment consisted of videothoracoscopy and laparoscopy when indicated. Results: TES and PE were diagnosed in 13 (40.6%) and 12 (37.5%) women, respectively. The association of TES and PE was present in 11 cases (34%). Fifteen patients (46.9%) underwent laparoscopy, of which 11 concurrently with videothoracoscopy. Most of the patients affected had stage III–IV endometriosis (40.6%). All patients received hormonal therapy after surgery. Five patients with PE conceived spontaneously resulting in six live births. The mean follow-up was 117 ± 71 months (range 8–244). Pneumothorax recurrence occurred in six patients (18.8%). At present, all women are asymptomatic, with no sign of pneumothorax recurrence. Conclusions: CP might be the first expression of TES and/or PE. A multidisciplinary approach is advocated for optimal management of the disease.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Lesions on the diaphragm tend to be associated with more severe pelvic endometriosis.
“Lesions on the diaphragm tend to be associated with more severe pelvic endometriosis [ 21 , 45 , 68 , 70 ].”
From Thoracic Endometriosis Syndrome: A Comprehensive Review and Multidisciplinary Approach to Management (2024) · cites this paper as [21]
Mechanical pleurodesis may have a higher recurrence rate than chemical pleurodesis.
“Mechanical pleurodesis, which may have a higher recurrence rate, is done through pleural abrasion and partial pleurectomy after confirming the absence of any residual endometrial implants [ 21 ].”
From Thoracic Endometriosis Syndrome: A Comprehensive Review and Multidisciplinary Approach to Management (2024) · cites this paper as [21]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Revised American Society for Reproductive Medicine classification of endometriosis: 1996
American Society for Reproductive Medicine (1997) · Fertility and Sterility · doi:10.1016/s0015-0282(97)81391-x · Cited by 3,018 · see citing works
ESHRE guideline for the diagnosis and treatment of endometriosis
Kennedy, S., Bergqvist, A., Chapron, C., D’Hooghe, T., Dunselman, G., Greb, R., Hummelshoj, L., Prentice, A., & Saridogan, E. (2005) · Human Reproduction · doi:10.1093/humrep/dei135 · Cited by 1,584 · see citing works
Thoracic endometriosis syndrome: New observations from an analysis of 110 cases
Joseph, J., & Sahn, S. A. (1996) · The American Journal of Medicine · doi:10.1016/s0002-9343(97)89454-5 · Cited by 466 · see citing works
Thoracic Endometriosis: Current Knowledge
Alifano, M., Trisolini, R., Cancellieri, A., & Regnard, J. F. (2006) · The Annals of Thoracic Surgery · doi:10.1016/j.athoracsur.2005.07.044 · Cited by 277 · see citing works
CHRONIC RECURRING SPONTANEOUS PNEUMOTHORAX DUE TO ENDOMETRIOSIS OF THE DIAPHRAGM
Maurer, E. R. (1958) · Journal of the American Medical Association · doi:10.1001/jama.1958.63000150008012c · Cited by 262 · see citing works
Catamenial pneumothorax revisited: Clinical approach and systematic review of the literature
Korom, S., Canyurt, H., Missbach, A., Schneiter, D., Kurrer, M. O., Haller, U., Keller, P. J., Furrer, M., & Weder, W. (2004) · The Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2004.04.039 · Cited by 239 · see citing works
Thoracic Endometriosis Syndrome: A Review of Diagnosis and Management
Nezhat, C., Lindheim, S. R., Backhus, L., Vu, M., Vang, N., Nezhat, A., & Nezhat, C. (2019) · JSLS : Journal of the Society of Laparoendoscopic Surgeons · doi:10.4293/jsls.2019.00029 · Cited by 189 · cited 3× · see citing works
“The strong association of CP not only with TES [18] but also with PE [3] emphasizes the need for optimizing a multidisciplinary approach to treatment with combined laparoscopy and thoracoscopy [7,24].”
BackgroundAlifano, M., Jablonski, C., Kadiri, H., Falcoz, P., Gompel, A., Camilleri-Broet, S., & Regnard, J.-F. (2007) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200704-587oc · Cited by 175 · see citing works
Catamenial pneumothorax: retrospective study of surgical treatment
Bagan, P., Le Pimpec Barthes, F., Assouad, J., Souilamas, R., & Riquet, M. (2003) · The Annals of Thoracic Surgery · doi:10.1016/s0003-4975(02)04320-5 · Cited by 163 · see citing works
Atypical Sites of Deeply Infiltrative Endometriosis: Clinical Characteristics and Imaging Findings
Chamié, L. P., Ribeiro, D. M. F. R., Tiferes, D. A., Macedo Neto, A. C. D., & Serafini, P. C. (2018) · Radiographics · doi:10.1148/rg.2018170093 · Cited by 156 · see citing works
Catamenial pneumothorax and endometriosis-related pneumothorax: clinical features and risk factors
Rousset-Jablonski, C., Alifano, M., Plu-Bureau, G., Camilleri-Broet, S., Rousset, P., Regnard, J.-F., & Gompel, A. (2011) · Human Reproduction · doi:10.1093/humrep/der189 · Cited by 127 · see citing works
Catamenial pneumothorax: Optimal hormonal and surgical management
MARSHALL, M., AHMED, Z., KUCHARCZUK, J., KAISER, L., & SHRAGER, J. (2005) · European Journal of Cardio-Thoracic Surgery · doi:10.1016/j.ejcts.2004.12.047 · Cited by 127 · see citing works
Surgical treatment of catamenial pneumothorax: a single centre experience
Ciriaco, P. P., Negri, G., Libretti, L., Carretta, A., Melloni, G., Casiraghi, M., Bandiera, A., & Zannini, P. (2008) · Interactive Cardiovascular and Thoracic Surgery · doi:10.1510/icvts.2008.190975 · Cited by 81 · see citing works
Self-citationPneumothorax in Women of Child-Bearing Age
Legras, A., Mansuet-Lupo, A., Rousset-Jablonski, C., Bobbio, A., Magdeleinat, P., Roche, N., Regnard, J.-F., Gompel, A., Damotte, D., & Alifano, M. (2014) · Chest · doi:10.1378/chest.13-1284 · Cited by 73 · see citing works
Nezhat, C., Nicoll, L. M., Bhagan, L., Huang, J. Q., Bosev, D., Hajhosseini, B., & Beygui, R. E. (2009) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2009.06.012 · Cited by 64 · see citing works
Alifano, M. (2010) · Current Opinion in Pulmonary Medicine · doi:10.1097/mcp.0b013e32833a9fc2 · Cited by 55 · see citing works
Treatment of thoracic endometriosis syndrome: A meta-analysis and review
Ciriaco, P., Muriana, P., Lembo, R., Carretta, A., & Negri, G. (2022) · The Annals of Thoracic Surgery · doi:10.1016/j.athoracsur.2020.09.064 · Cited by 47 · see citing works
Self-citationLapp, T. (2000) · PubMed · Cited by 40 · see citing works
Soriano, D., Schonman, R., Gat, I., Schiff, E., Seidman, D. S., Carp, H., Weintraub, A. Y., Ben-Nun, A., & Goldenberg, M. (2012) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2012.08.773 · Cited by 38 · see citing works
Relationship between Catamenial Pneumothorax or Non-catamenial Pneumothorax and Endometriosis
Tulandi, T., Sirois, C., Sabban, H., Cohen, A., Murji, A., Singh, S. S., Chen, I., & Belland, L. (2017) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2017.10.012 · Cited by 29 · see citing works
Extraperitoneal endometriosis with catamenial pneumothoraces: a review of the literature.
Roberts, L. M., REDAN, J. A., & Reich, H. (2003) · PubMed Central · Cited by 24 · see citing works
Gynecologic Evaluation of Catamenial Pneumothorax Associated with Endometriosis
Kumakiri, J., Kumakiri, Y., Miyamoto, H., Kikuchi, I., Arakawa, A., Kitade, M., & Takeda, S. (2010) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2010.04.011 · Cited by 24 · see citing works
Geysenbergh, B., Dancet, E. A. F., & D'Hooghe, T. (2017) · Gynecologic and Obstetric Investigation · doi:10.1159/000452098 · Cited by 24 · see citing works
Thoracic Endometriosis Syndrome: Association With Pelvic Endometriosis and Fertility Status
Ottolina, J., Stefano, F. D., Viganò, P., Ciriaco, P. P., Zannini, P., & Candiani, M. (2017) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2016.12.025 · Cited by 18 · see citing works
Self-citationCatamenial Pneumothorax, Clinical Manifestations—A Multidisciplinary Challenge
Majak, P., Langebrekke, A., Hagen, O. M., & Qvigstad, E. (2011) · Advances in respiratory medicine · doi:10.5603/arm.27638 · Cited by 17 · see citing works
CT and MRI findings of bronchopulmonary endometriosis: a case presentation
Sanada, T., Park, J., Hagiwara, M., Ikeda, N., Nagai, T., Matsubayashi, J., & Saito, K. (2018) · Acta Radiologica Open · doi:10.1177/2058460118801164 · Cited by 15 · see citing works
[Catamenial pneumothorax. Failure of videothorascopic treatment].
Perrotin, C., Mussot, S., Fadel, É., Chapelier, A. R., & Dartevelle, P. (2002) · PubMed · Cited by 10 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- [11]Lapp T. ACOG issues recommendations for the management of endometriosis Am. Fam. Physician 2000 62 1431 1434 11011865
Cited by
Sorted by citations
Endometriosis-associated infertility: From pathophysiology to tailored treatment
Bonavina, G., & Taylor, H. S. (2022) · Frontiers in Endocrinology · doi:10.3389/fendo.2022.1020827 · Cited by 359 · see citing works
Thoracic Endometriosis Syndrome: A Comprehensive Review and Multidisciplinary Approach to Management
Nezhat, C., Amirlatifi, N., Najmi, Z., & Tsuei, A. (2024) · Journal of Clinical Medicine · doi:10.3390/jcm13247602 · Cited by 36 · see citing works
Approach to Acute Traumatic and Nontraumatic Diaphragmatic Abnormalities
Keyes, S., Spouge, R. J., Kennedy, P., Rai, S., Abdellatif, W., Sugrue, G., Barrett, S. A., Khosa, F., Nicolaou, S., & Murray, N. (2024) · Radiographics · doi:10.1148/rg.230110 · Cited by 19 · see citing works
Thoracic Endometriosis Syndrome (TES) in Martinique, a French West Indies Island
Agossou, M., Sanchez, B.-G., Alauzen, P.-H., Olivier, M., Cécilia‐Joseph, E., Chevallier, L., Jean-Laurent, M., Aline-Fardin, A., Dramé, M., & Vénissac, N. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12175578 · Cited by 7 · see citing works
Issard, J., Vaudelin, C., Imberton, D., Vayssette, A., Roux, M., Giol, M., Khalife, T., Camuset, J., Debrosse, D., Assouad, J., et al. (2024) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2024.02.030 · Cited by 4 · see citing works
Special Issue on “Clinical Research of Spontaneous Pneumothorax”
Ciriaco, P. P. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11112988 · Cited by 4 · see citing works
Self-citationAmin, A., Baryshnikov, I., Shafique, M. A., Naruka, V., Kajitani, S., Chavan, H., Hirsch, M., Hallifax, R., & Asadi, N. (2025) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2025.12.020 · Cited by 2 · see citing works
Yin, L., Xu, Q., Alhaskawi, A., Yang, Y., Shi, J., Zhou, X., Feng, S., Zou, Y., Xie, G., He, W., et al. (2025) · Journal of Radiation Research and Applied Sciences · doi:10.1016/j.jrras.2025.101679 · Cited by 1 · see citing works
Surgical management of catamenial pneumothorax: a systematic review
Mekhail, A., Kilby, J., Macalister, S., Manivannan, P. C., & Seitz, M. (2026) · Journal of Cardiothoracic Surgery · doi:10.1186/s13019-026-04227-1 · Cited by 1 · see citing works
Endometriosis Toraks di Diafragma Dextra dengan Manifestasi Nyeri Dada dan Pneumotoraks
Dharmawan, T., Chandra, T. M., Hestiantoro, A., & Harahap, A. S. (2023) · Journal Of The Indonesian Medical Association · doi:10.47830/jinma-vol.73.4-2023-1169 · Cited by 1 · see citing works
Amirian, A., Ghazanfari, S. M., Mardani, P., Gorjizade, S., & Moghadami, M. (2025) · International Journal of Surgery Case Reports · doi:10.1016/j.ijscr.2025.111903 · Cited by 1 · see citing works
Diaphragmatic Herniation with Pneumothorax Due to Barotrauma – Lessons to Learn: A Case Report
Ran, J., & Ji, P. (2024) · Asploro Journal of Biomedical and Clinical Case Reports · doi:10.36502/2024/asjbccr.6354
Thoracoscopic treatment of recurrent catamenial pneumothorax
Leivaditis, V., Papatriantafyllou, A., Grapatsas, K., Koletsis, E. N., Charokopos, N., Mulita, F., Panagiotopoulos, I. A., & Dahm, M. (2024) · Journal of emergency medicine, trauma & acute care · doi:10.5339/jemtac.2024.29
Bogdanova, A. M., Glushkova, V. S., Kvashnina, E. V., Мамин, Э. Л., & Urakov, A. V. (2025) · Ural Medical Journal · doi:10.52420/umj.24.3.157
Endometriosis of the diaphragm
Popov, А. А., Fedorov, А. А., Glebov, T. A., & Nefedov, P. P. (2025) · Russian Bulletin of Obstetrician-Gynecologist · doi:10.17116/rosakush20252506124
Catamenial Pneumothorax: Breathing Through The Menstrual Cycle
Letchumanan, S., Rahman, R. A., & Idris, N. S. (2026) · IIUM Medical Journal Malaysia · doi:10.31436/imjm.v25i02.2869
Marjański, T., Szczepańska, N., Niedzielska, J., Ciarka, A., Pęksa, R., Czapla-Iskrzycka, A., Świątkowska−Stodulska, R., & Milnerowicz-Nabzdyk, E. (2026) · Advances in Clinical and Experimental Medicine · doi:10.17219/acem/217291
Mạc, T. T., Van, D. D., Đoàn, T. P. L., Pham, H. M., & Ngo, G. K. (2026) · European Journal of Case Reports in Internal Medicine · doi:10.12890/2026_007519
- Authors
- Ciriaco, P., Muriana, P., Carretta, A., Ottolina, J., Candiani, M., & Negri, G.
- Affiliations
- Vita-Salute San Raffaele University (IT)
- Corresponding author
- Ciriaco, Paola
- ORCID
- Venue
- Journal of Clinical Medicine
- Publisher
- MDPI AG
- Published
- 2022-02-23
- Volume
- 11
- Issue
- 5
- Pages
- 1200
- ISSN
- 2077-0383 (ISSN-L)
- PMC
- PMC8911039
- OpenAlex
- W4213439525
- Cited by
- 16
- References
- 27
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 5 · 2023: 2 · 2022: 2
- FWCI
- 2.95
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Journal of Clinical Medicine (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Archivio Istituzionale della Ricerca - Università Vita-Salute San Raffaele (submittedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Pleural and Pulmonary Diseases
- Health Sciences › Medicine › Surgery › Diagnosis and treatment of tuberculosis
- Keywords
- catamenial pneumothorax, thoracic endometriosis syndrome, pelvic endometriosis, videothoracoscopy, laparoscopic surgery, hormone therapy, spontaneous conception, recurrent pneumothorax, multidisciplinary management
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
