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Medline ® Abstract for Reference 23

of 'Primary spontaneous pneumothorax in adults'

Catamenial pneumothorax and other thoracic manifestations of endometriosis.
Johnson MM
Clin Chest Med. 2004;25(2):311.
Thoracic endometriosis syndrome is an uncommon entity with varied clinical manifestations. Its pathogenesis is not understood completely. Recurrent unilateral right-sided pneumothorax that occurs within days of the onset of menstruation is the most common presentation. Clinical suspicion and recognition of the temporal relationship of the patient's symptoms with menses are essential to establish the diagnosis. Radiographic studies, bronchoscopy, and thoracoscopy may support the diagnosis. Pathologic evidence of thoracic endometrial tissue is not present universally. Therapeutic interventions, which include medical and surgical options, must be individualized for each patient.
Division of Pulmonary Medicine, The Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, USA. johnson.margaret2@mayo.edu