Catamenial pneumothorax surgery: Difference between revisions
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Pneumothorax is a [[medical emergency]] because it comes with severe [[Pain and nociception|pain]] and decreased lung function. A [[chest tube]] should be inserted after clinical assessment. This releases the air and menstrual blood, and the lung can re-expand. | Pneumothorax is a [[medical emergency]] because it comes with severe [[Pain and nociception|pain]] and decreased lung function. A [[chest tube]] should be inserted after clinical assessment. This releases the air and menstrual blood, and the lung can re-expand. | ||
Surgery, hormonal treatments and combined approaches have all been proposed, with variable results in terms of short and long term outcome.<ref name=Peikert_2005>{{cite journal |author=Peikert T, Gillespie DJ, Cassivi SD |title=Catamenial pneumothorax: case report and review of the literature |journal=Mayo Clinic Proceedings |volume=80 |issue=5 |pages=677-680 |year=2005 |pmid=15887438}}</ref> Surgical removal of the endometrial tissue should be endeavoured during menstruation for optimal | Surgery, hormonal treatments and combined approaches have all been proposed, with variable results in terms of short and long term outcome.<ref name=Peikert_2005>{{cite journal |author=Peikert T, Gillespie DJ, Cassivi SD |title=Catamenial pneumothorax: case report and review of the literature |journal=Mayo Clinic Proceedings |volume=80 |issue=5 |pages=677-680 |year=2005 |pmid=15887438}}</ref> Surgical removal of the endometrial tissue should be endeavoured during menstruation for optimal visualization of the cyst.<ref name=asian>Poyraz AS, Kilic D, Hatipoglu A, Demirhan BA. A very rare entity: catamenial pneumothorax. ''Asian Cardiovasc Thorac Ann'' 2005; '''13''':271-3. PMID 16113003</ref> [[Pleurodesis]] may also be helpful. Menstruation and accompanying lung collapse can be suppressed with hormone therapy,<ref name=eMedicine>{{eMedicine|radio|563}}</ref> like with [[Leuprolide|Lupron Depot]], [[danazol]] or [[extended cycle combined oral contraceptive pill]]s. | ||
==References== | ==References== | ||
Latest revision as of 17:47, 20 February 2013
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Overview
Pneumothorax is a medical emergency because it comes with severe pain and decreased lung function. A chest tube should be inserted after clinical assessment. This releases the air and menstrual blood, and the lung can re-expand.
Surgery, hormonal treatments and combined approaches have all been proposed, with variable results in terms of short and long term outcome.[1] Surgical removal of the endometrial tissue should be endeavoured during menstruation for optimal visualization of the cyst.[2] Pleurodesis may also be helpful. Menstruation and accompanying lung collapse can be suppressed with hormone therapy,[3] like with Lupron Depot, danazol or extended cycle combined oral contraceptive pills.
References
- ↑ Peikert T, Gillespie DJ, Cassivi SD (2005). "Catamenial pneumothorax: case report and review of the literature". Mayo Clinic Proceedings. 80 (5): 677–680. PMID 15887438.
- ↑ Poyraz AS, Kilic D, Hatipoglu A, Demirhan BA. A very rare entity: catamenial pneumothorax. Asian Cardiovasc Thorac Ann 2005; 13:271-3. PMID 16113003
- ↑ radio/563 at eMedicine