Catamenial pneumothorax with umbilical and diaphragmatic endometriosis: A case report and review of the literature

Vichaya Arunthari, Bernd Uwe Sevin, Murli Krishna, Margaret M. Johnson

Research output: Contribution to journalArticle

4 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)1043-1045
Number of pages3
JournalSouthern medical journal
Issue number10
StatePublished - Oct 1 2008



  • Catamenial pneumothorax
  • Thoracic endometriosis
  • Umbilical endometriosis

ASJC Scopus subject areas

  • Medicine(all)

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