Catamenial pneumotorax as a manifestation of pulmonary forms of endometriosis
Catamenial pneumothorax (CP) is recurrent spontaneous pneumothorax that occurs in women during the reproductive period. According to its etiology, CP is a manifestation of the pulmonary forms of endometriosis (PE).Tezikov Yu.V., Lipatov I.S., Kalinkina O.B., Aravina O.R., Benyan A.S., Medvedchikov-Ardia M.A., Fedorina T.A., Yunusova Yu.R.
Objective. To present clinical cases of PE-induced CP in the period 2015—2017 and the examination and management tactics elaborated by the authors for patients with this pathology
Case reports. CP was detected and surgically treated in 3 patients because of PE only and that concurrent with genital forms of endometriosis. The paper gives the stages of a clinical diagnostic search for the diagnosis and identification of concurrent forms of endometriosis, surgical treatment, and drug therapy according to the patients’ reproductive plans. A multidisciplinary management approach is proposed to prevent the recurrence and progression of the disease within one-year follow-up after the onset of manifestation.
Conclusion. The surgical management tactics for patients with CP due to PE involves thoracoscopy for pneumothorax, regardless of the presence or absence of evidence for bullous lung degeneration in reproductive-aged women, and removal of the cause of pneumothorax. The use of dienogest for medical correction in both pulmonary endometriosis only and that concurrent with pulmonary genital forms of endometriosis after surgical treatment is justified in order to prevent recurrent CP and progressive endometriosis. Dienogest is safe in its long-term use and the absence of severe side effects, which contributes to patient adherence to long-term treatment for the disease.
Keywords
catamenial pneumothorax
pulmonary forms of endometriosis
infertility
spontaneous pneumothorax
intestinal endometriosis
dienogest
thoracoscopy
References
- Воскресенский О.В., Смоляр А.Н., Дамиров М.М., Галанкина И.Е., Желев И.Г. Торакальный эндометриоз и катамениальный пневмоторакс. Хирургия. Журнал им. Н.И. Пирогова. 2014; 10: 4-9. [Voskresenskij O.V., Smolyar A.N., Damirov M.M., Galankina I.E., Zhelev I.G. Thoracic endometriosis and catamenial pneumothorax. Hirurgiya. Zhurnal im. N.I. Pirogova. 2014; 10: 4 – 9. (in Russian)].
- Пищик В.Г., Оборнев А.Д., Атюков М.А., Петров А.С., Коваленко А.И. Опыт лечения эндометриоз-ассоциированного пневмоторакса. Вестник хирургии им. И.И. Грекова. 2017; 176(3): 56-60. [Pishchik V.G., Obornev A.D., Atyukov M.A., Petrov A.S., Kovalenko A.I. Experience in the treatment of endometriosis-associated pneumothorax. Vestnik hirurgii im. I.I. Grekova. 2017; 176 (3): 56–60. (in Russian)].
- Порубова Я., Рябова Е., Куликова Т. Сочетание генитального эндометриоза и эндометриоза диафрагмы, осложненного рецидивирующим катамениальным пневмотораксом. Врач. 2016; 1: 51-2. [Porubova YA., Ryabova E., Kulikova T. The combination of genital endometriosis and endometriosis of the diaphragm, complicated by recurrent catamenial pneumothorax. Vrach. 2016; 1: 51–52. (in Russian)].
- Российское общество хирургов. Национальные клинические рекомендации по диагностике и лечению спонтанного пневмоторакса. Доступно по: http://xn----9sbdbejx7bdduahou3a5d.xn--p1ai/stranica-pravlenija/unkr/torakalnaja-hirurgija/nacionalnye-klinicheskie-rekomendaci-po-diagnostike-i-lecheniyu-spontanogo-pnevmotoraksa.html [Russian Society of Surgeons. National clinical guidelines for the diagnosis and treatment of spontaneous pneumothorax. http://xn----9sbdbejx7bdduahou3a5d.xn--p1ai/stranica-pravlenija/unkr/torakalnaja-hirurgija/nacionalnye-klinicheskie-rekomendaci-po-diagnostike-i-lecheniyu-spontanogo-pnevmotoraksa.html.(in Russian)].
- Адамян Л.В., ред. Эндометриоз: диагностика, лечение и реабилитация. Федеральные клинические рекомендации по ведению больных. М.: 2013. http://cr.rosminzdrav.ru/schema.html?id=182#/part/7 [Adamyan L.V. Endometrios: diagnostika, lechenie i reabilitaciya. Federalnie klinicheskie recomedacii po vedeniyu bolnikh. Moskva. Peresmotr 2016. http://cr.rosminzdrav.ru/schema.html?id=182#/part/7 (In Russian)].
- Романов М.Д., Киреева Е.М. Легочный эндометриоз: лечебная тактика. Новости хирургии. 2018; 26(1): 103-8. [Romanov M.D., Kireeva E.M. Pulmonary endometriosis: treatment tactics. Novosti hirurgii. 2018; 26 (1): 103–108. (in Russian)].
- Яблонский П.К., Пичуров А.А., Оржешковский О.В., Петрунькин А.М., Гончарук И.В. Особенности спонтанного пневмоторакса у женщин. Вестник хирургии им. И.И. Грекова. 2014; 173(6): 89-95. [Yablonskij P.K., Pichurov A.A., Orzheshkovskij O.V., Petrun’kin A.M., Goncharuk I.V. Features of spontaneous pneumothorax in women. Vestnik hirurgii im. I.I. Grekova. 2014; 173 (6): 89–95. (in Russian)].
- Aissa S., Benzarti W., Alimi F., Gargouri I., Salem H.B., Aissa A. et al. Catamenial pneumothorax revealing diaphragmatic endometriosis: a case report and revue of literature. Pan Afr. Med. J. 2017; 27: 112. https://doi.org/10.11604/pamj.2017.27.112.8007.
- Hwang S.M., Lee C.V., Lee B.S., Park J.H. Clinical features of thoracic endometriosis: A single center analysis. Obstet. Gynecol. Sci. 2015; 58(3): 223-31. https://doi.org/10.5468/ogs.2015.58.3.223.
- Maniglio P., Ricciardi E., Meli F., Vitale S.G., Noventa M., Vitagliano A. et al. Catamenial pneumothorax caused by thoracic endometriosis. Radiol. Case Rep. 2018; 13(1): 81-5. https://doi.org/10.1016/j.radcr.2017.09.003.
- Marjanski T., Sowa K., Czapla A., Rzyman W. Catamenial pneumothorax – a review of the literature. Kardiochir. Torakochirurgia Pol. 2016; 13(2): 117-21. https://doi.org/10.5114/kitp.2016.61044.
- Endometriosis: diagnosis and management. NICE guideline (NG73). Accessed 6 September 2017. Available at: https://www.nice.org.uk/guidance/ng73
- Калинкина О.Б., Тезиков Ю.В., Липатов И.С., Аравина О.Р., Балдина О.А., Арчибасова О.В., Ерещенко А.А. Длительное применение диеногеста для лечения эндометриоза. Аспирантский вестник Поволжья. 2017; 1-2: 18-23. [Kalinkina O.B., Tezikov Y.V., Lipatov I.S., Aravina O.R., Baldina O.A., Archibasova O.V. et al. Dlitelnoe primenenie dienogesta dlya lecheniya endometriosa. Aspirantskii vestnik povolzhiya. 2017; 1-2: 18–23. (in Russian)].
- Visouli A.N., Zarogoulidis K., Kougioumtzi I., Huang H., Li Q., Dryllis G. et al.Catamenial pneumothorax. J. Thorac. Dis. 2014; 6(Suppl. 4): S448-60. https://doi.org/10.3978/j.issn.2072-1439.2014.08.49.
Received 20.11.2018
Accepted 19.04.2019
About the Authors
Tezikov YU.V., MD, Professor, head of the Depatment of Obstetrics and Gynecology №1 Samara State Medical University, Ministry of Health of RussiaE-mail: yra.75@inbox.ru ORCID 0000-0002-8946-501X
Address: 89 Chapaevskaya street, Samara, 443099, Russian Federation
Lipatov I.S., MD, Professor, Professor of the Depatment of Obstetrics and Gynecology №1 Samara State Medical University, Ministry of Health of Russia
E-mail: i.lipatoff2012@yandex.ru ORCID 0000-0001-7277-7431
Address: 89 Chapaevskaya street, Samara, 443099, Russian Federation
Kalinkina O.B., MD, Professor, Professor of the Depatment of Obstetrics and Gynecology №1 Samara State Medical University, Ministry of Health of Russia
E-mail: maiorof@mail.ru ORCID 0000-0002-1828-3008
Address: 89 Chapaevskaya street, Samara, 443099, Russian Federation
Aravina O.R., assistant of the Department of Obstetrics and Gynecology №1 Samara State Medical University, Ministry of Health of Russia
E-mail: dr.aravina@gmail.com ORCID 0000-0002-2107-1508
Address: 89 Chapaevskaya street, Samara, 443099, Russian Federation
Benyan A.S., MD, head. the surgical thoracic Department of SBME «Philosophy n.a. V. D. Seredavina», associate Professor of the surgery chair of Samara State Medical University, Ministry of Health of Russia , Russia. E-mail: armenbenyan@yandex.ru
Address: 89 Chapaevskaya street, Samara, 443099, Russian Federation; 443095, Russia, Samara, ul. Tashkent, d. 159.E-mail: armenbenyan@yandex.ru
Medvedchikov-Ardia M.A., PhD, doctor-thoracic surgeon of surgical thoracic Department of Samara Regional Clinical Hospital n.a. V. D. Seredavina, assistant Professor of the Department of surgery, Samara State Medical University. E-mail: medvedchikov@list.ru;
Address: 89 Chapaevskaya street, Samara, 443099, Russian Federation;
443095, Russia, Samara, ul. Tashkent, d. 159.
Fedorina T.A., MD, Professor, head the chair of the Department of General and clinical pathology: pathological anatomy and pathological physiology, Samara state medical University, chief freelance specialist in pathological anatomy of the Ministry of health of the Samara region.
Address: 89 Chapaevskaya street, Samara. E-mail: julja_junusova@rambler.ru ORCID 0000-0002-7566-574X
Yunusova YU.R. , PhD, associate professor, associate professor of the Department of General and clinical pathology: pathological anatomy and pathological physiology of the Russian Federation Samara State Medical University
Address: 89 Chapaevskaya street, Samara, Russia. Email: julja_junusova@rambler.ru
For citations: Tezikov Y.V., Lipatov I.S., Kalinkina O.B., Aravina O.R., Benyan A.S., Medvedchikov-Ardia M.A., Fedorina T.A., Yunusova Yu.R. Catamenial pneumatorax as manifestation of thoracic form of endometriosis. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2019; (6):156-162 (in Russian).
https://dx.doi.org/10.18565/aig.2019.6.156-162
Similar Articles
