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Catamenial pneumothorax is associated with recurrent pneumothorax in women of reproductive age during perimenstrual periodsMenstrual Lung Collapse Often Missed in Women

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Key Takeaway
Recognize that catamenial pneumothorax may present as recurrent pneumothorax during the perimenstrual period.

This case report and literature review describes the clinical presentation of catamenial pneumothorax in women of reproductive age. The authors synthesize findings regarding the association between recurrent pneumothorax and the menstrual cycle, specifically during the perimenstrual period.

The primary finding is that catamenial pneumothorax is characterized by spontaneous and recurrent pneumothorax occurring in women of reproductive age during the perimenstrual period. The report aims to increase clinical awareness of this specific association to reduce instances of underdiagnosis and misdiagnosis in this patient population.

A significant limitation of this evidence is the small sample size of 2 cases. Because this is a case report and literature review, the findings are not derived from a large-scale clinical trial. Clinicians should consider this report as a tool for increasing awareness of the link between menstruation and pneumothorax rather than as a definitive diagnostic guideline.

How this fits prior evidence

This case report addresses a gap in clinical awareness regarding the specific triggers of pneumothorax in women of reproductive age. While prior coverage noted that a 5-factor frailty index does not predict pneumothorax or effusion after lung resection, this report focuses on the cyclical nature of pneumothorax related to the menstrual cycle. It does not relate to the use of normal saline tract instillation to reduce pneumothorax during lung biopsies.

A new case report describes a rare problem called catamenial pneumothorax. This means a lung collapses around the time of a woman's period. It happens again and again, often just before or during monthly bleeding. The report shares two cases and reviews other published cases.

Catamenial pneumothorax is part of a larger condition called thoracic endometriosis syndrome. Tissue like the lining of the womb grows outside the womb, sometimes in the chest. When hormones change during the menstrual cycle, this tissue can cause a lung to collapse. The result is sudden chest pain and trouble breathing.

Because the symptoms follow a monthly pattern, doctors may not connect them to periods. Many women are treated for a single collapsed lung without asking about their cycle. This can lead to repeated episodes and delays in care. The report calls for more awareness so that women get the right diagnosis sooner.

The study is only a case report with a literature review, not a large trial. It cannot prove cause and effect. Still, it highlights a real problem that is often overlooked. Women who have repeated lung collapses should tell their doctor if the episodes happen around their period. That simple detail can make a big difference in getting proper care.

What this means for you:
Repeated lung collapse tied to periods is often missed; telling your doctor about the timing can speed diagnosis.

Common questions

What is catamenial pneumothorax?

Catamenial pneumothorax is a type of collapsed lung that happens in women of reproductive age during the perimenstrual period. According to this case report, it is characterized by spontaneous and recurrent pneumothorax. It is part of thoracic endometriosis syndrome. The report aims to raise awareness so it is not missed or misdiagnosed.

Who does this affect?

This case report describes the condition in women of reproductive age. The report included two cases. Because the sample size is very small, it is not known how common this is or whether it affects all women equally. If you have concerns, talk with your doctor.

Is this a proven cause?

No. This is a case report with a literature review, not a clinical trial. It describes an association between recurrent pneumothorax and menstruation in two women. It cannot prove that menstruation causes the collapsed lung. More research is needed to understand the link.

What are the limitations of this report?

The main limitation is the very small sample size of two cases. No treatments, outcomes, follow-up, or safety information were reported. As a case report and literature review, it cannot show cause and effect or how often this happens. The findings should be considered early and descriptive.

Study Details

Study typeSystematic review
EvidenceLevel 1
PublishedOct 2026
View Original Abstract ↓
Pneumothorax is a pathological condition in which gas enters the pleural cavity due to trauma, surgery, positive-pressure ventilation, thoracentesis, or other causes, leading to compression and collapse of the lung tissue. It exhibits a male predominance and can occur in all age groups. Catamenial pneumothorax, also referred to as thoracic endometriosis syndrome-associated pneumothorax, is a rare subtype. It is characterized by spontaneous and recurrent pneumothorax occurring in women of reproductive age during the perimenstrual period. Clinicians often fail to associate pneumothorax with the menstrual cycle, resulting in a high rate of misdiagnosis in clinical practice, which in turn leads to recurrent episodes and protracted clinical courses. This article presents two case reports, summarizes and analyzes their clinical features, and explores diagnostic and therapeutic strategies, with the aim of enhancing awareness of the association between recurrent pneumothorax and menstruation in women of reproductive age, thereby reducing underdiagnosis and misdiagnosis.
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