Format

Send to

Choose Destination
See comment in PubMed Commons below
J Minim Invasive Gynecol. 2017 Mar - Apr;24(3):461-465. doi: 10.1016/j.jmig.2016.12.025. Epub 2017 Jan 7.

Thoracic Endometriosis Syndrome: Association With Pelvic Endometriosis and Fertility Status.

Author information

1
Gynecology Department, San Raffaele Scientific Institute, Milan, Italy. Electronic address: ottolina.jessica@hsr.it.
2
Gynecology Department, San Raffaele Scientific Institute, Milan, Italy.
3
Reproductive Sciences Laboratory, Division of Genetics and Cell Biology, San Raffaele Scientific Institute, Milan, Italy.
4
Thoracic Surgery Department, San Raffaele Scientific Institute, Milan, Italy.

Abstract

STUDY OBJECTIVE:

To evaluate associations among catamenial pneumothorax, pelvic endometriosis, and fertility status.

DESIGN:

Retrospective study (Canadian Task Force classification II-2).

SETTING:

Departments of Thoracic Surgery and Obstetrics and Gynecology, San Raffaele Hospital, Milan, Italy.

PATIENTS:

Sixteen females referred to the Department of Thoracic Surgery for treatment of spontaneous pneumothorax between January 2001 and January 2014 and referred to the outpatient clinic for gynecologic follow-up.

INTERVENTIONS:

Thoracoscopy for catamenial pneumothorax and laparoscopy for pelvic endometriosis.

MEASUREMENTS AND MAIN RESULTS:

Characteristics of the patients, the presence of endometriosis, and their fertility status were statistically analyzed. Pelvic endometriosis was diagnosed in 9 patients (56.3%), but 6 patients did not undergo a laparoscopic procedure to confirm or exclude the disease. Seven of the affected patients (77.8%) had stage III-IV endometriosis. Two-thirds of the patients with pelvic endometriosis who attempted conception conceived spontaneously, as did all of the patients without histopathological confirmation of endometriosis.

CONCLUSION:

Thoracic endometriosis syndrome, characterized mainly by catamenial pneumothorax, is a relevant condition in patients affected by endometriosis. However, few previous studies have analyzed this condition from a gynecologic standpoint, in terms of characteristics of endometriosis and fertility status of affected women. Our findings support the presence of a strong association between catamenial pneumothorax and pelvic endometriosis, as well as a minimal effect of catamenial pneumothorax on fertility status, even in the presence of pelvic endometriosis.

KEYWORDS:

Catamenial pneumothorax; Endometriosis; Fertility status; Spontaneous pneumothorax; Thoracic endometriosis; Video-assisted thoracoscopic surgery

PMID:
28069481
DOI:
10.1016/j.jmig.2016.12.025
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Support Center