Abstract
•TES is becoming more common, with increasing awareness.•Catamenial pneumothorax represents a complex puzzle, and finding some pieces of the puzzle should suffice for high suspicion on its diagnosis.•This case demonstrates the variable presentations of TES and the optimal management.
Catamenial pneumothorax (CP) is a rare and usually miss diagnosed condition that is often characterized by non- specific respiratory or gynecological symptoms. A high index of suspicion is warranted for early diagnosis and management.
We present a case of 34 year old female who presented with shortness of breath and dyspnea.
The radiological diagnosis was pneumothorax with further history, it was apparent that is was a case of primary infertility secondary to possible pelvic endometriosis. She was treated as a case of bilateral catamenial hemopneumothorax after confirming the diagnosis through surgical exploration & repair of right hemidiaphragm.
This case demonstrate the extensive bilateral catamenial hemopnemothorax which is limitedly described in the literature index of suspicion & early diagnosis and management would ensure multiple admission & recurrence.