title: Catamenial pneumothorax with umbilical and diaphragmatic endometriosis: a case report and review of the literature.
abstract: A 44-year-old female presented with a history of recurrent right-sided pneumothoraces, uterine fibroids, and a palpable lump in her navel. Total abdominal hysterectomy with bilateral salpingo-oophorectomy (TAH-BSO) and resection of the umbilical nodule was performed. Intraoperative inspection of the right hemidiaphragm revealed adherent brownish-blue nodules without any associated diaphragmatic defects and a similar-appearing nodule at the umbilicus. She had no symptoms of pelvic endometriosis, nor did surgical exploration reveal any. Her postoperative course was uneventful and she denied recurrent pneumothorax at 12-month followup. Recurrent pneumothoraces in women of a reproductive age should raise the suspicion of thoracic endometriosis. Failure to establish the diagnosis prevents appropriate curative interventions.
authors.affiliation: Division of Pulmonary Medicine, Mayo Clinic Jacksonville, Jacksonville, FL 32224, USA. arunthari.vichaya@mayo.edu
authors.forename: Vichaya
authors.initials: V
authors.lastname: Arunthari
authors.forename: Bernd-Uwe
authors.initials: BU
authors.lastname: Sevin
authors.forename: Murli
authors.initials: M
authors.lastname: Krishna
authors.forename: Margaret M
authors.initials: MM
authors.lastname: Johnson
mesh_terms: D000328:Adult; D004715:Endometriosis / Q000150:complications*; D005260:Female; D006469:Hemoptysis / Q000209:etiology*; D006801:Humans; D008597:Menstrual Cycle; D011030:Pneumothorax / Q000209:etiology*; D020069:Shoulder Pain / Q000209:etiology