Kocaeli Med J. 2021; 10(1): 62-66 | DOI: 10.5505/ktd.2021.54036

Evaluation of Primary Spontaneous Pneumothorax Catamenial Relationship in Women

Funda Ýncekara¹, Yucel Yüzbaþýoðlu², Göktürk Fýndýk¹, Ýlteriþ Türk¹, Koray Aydoðdu¹, Þevki Mustafa Demiröz¹, Sadi Kaya^1
1University of Health Sciences, Ataturk Chest Diseases and Thoracic Surgery Traninig and Research Hospital, Department of Thoracic Surgery, Ankara, Turkiye
²University of Health Sciences, Keçiören Training and Research Hospital,Department of Emergency Medicine, Ankara, Turkiye

INTRODUCTION: Primary spontaneous pneumothorax is one of the emergencies of thoracic surgery and, if left untreated, is a major cause of morbidity and mortality. We present this study to investigate the causes of primary spontaneous pneumothorax in women, and to determine the recurrence rate and causes.
METHODS: Of 675 patients diagnosed with primary spontaneous pneumothorax, treated in our Thoracic Surgery Clinic between January 2013-19, 44 female patients were evaluated retrospectively. The patients were evaluated in terms of age, smoking, menstrual cycle, pneumothorax attacks, radiological and surgical findings, treatments and results.
RESULTS: Forty four (6.5%) of the patient with primary spontaneous pneumothorax were women. The average age was 29.2. In our study, there were 7(15.91%) catamenial pnuemothorax cases and these 7 cases had recurrent pneumothorax for 19 times. The recurrence rate of pneumothorax after the operation is very low but in our series, 4(18.18%) of 22 patients who underwent surgery had recurrence and 3(75%) of these recurrences were catamenial pneumothorax. PSP was present on the right side in 22(50%), cases on the left side in 19(43.1%) cases and bilateral in 3(6.8%) cases. All cases were symptomatic; both shortness of breath and chest pain were observed in 14(31.8%) cases only shortness of breath in 7(15.9%) cases and only chest pain in 23(52.2%) cases.
DISCUSSION AND CONCLUSION: Primary spontaneous pneumothorax is very rare in women. Although rare, we believe more recurrence ocur, especially those with catamenial primary spontaneous pneumothorax. In female primary spontaneous pneumothorax cases, menstrual cycles should be questioned and catemenial pneumothorax should always be kept in mind.

Keywords: Pneumothorax, Spontaneous pneumothorax, Catamenial pneumothorax, Recurrence

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Kadýnlarda Primer Spontan Pnömotoraks Katamenial Ýliþikisinin Deðerlendirilmesi

Funda Ýncekara¹, Yucel Yüzbaþýoðlu², Göktürk Fýndýk¹, Ýlteriþ Türk¹, Koray Aydoðdu¹, Þevki Mustafa Demiröz¹, Sadi Kaya^1
1Saðlýk Bilimleri Üniversitesi Atatürk Göðüs Hastalýklarý ve Göðüs Cerrahisi Saðlýk Uygulamalarý ve Araþtýrma Merkez, Göðüs Cerrahi Kliniði, Ankara, Türkiye
²Saðlýk Bilimleri Üniversitesi Keçiören Saðlýk Uygulamalarý ve Araþtýrma Merkezi, Acil Týp Anabilim Dalý, Ankara, Türkiye,

GÝRÝÞ ve AMAÇ: Primer spontan pnömotoraks göðüs cerrahisi acillerinden birisidir, tedavi edilmezse önemli morbidite ve mortalite sebebidir. Bu çalýþmayý kadýn hastalardaki primer spontan pnömotoraks nedenlerini araþtýrmak, nüks oran ve nedenlerini belirlemek amacýyla sunmaktayýz.
YÖNTEM ve GEREÇLER: Göðüs Cerrahisi kliniðimizde Ocak 2013-19 tarihleri arasýnda tedavi edilen primer spontan pnömotoraks tanýlý 675 olgudan 44 kadýn olgu retrospektif olarak deðerlendirildi. Hastalar yaþ, sigara, menstrüasyon siklus, pnömotoraks ataklarý, radyolojik ve ameliyat bulgularý, tedaviler ve sonuçlarý açýsýndan deðerlendirildi.
BULGULAR: Primer spontan pnömotorakslý olgularýn 44’ü (%6.5) kadýn idi. Yaþ ortalamasý 29.2’idi. Çalýþmamýzda katamenial olan 7(%15.91) olgu mevcuttu. ve 7 olguda 19 kez pnömotoraks nüksü geliþmiþtir. Pnömotorakslarda operasyon sonrasý nüks oraný çok azdýr fakat bizim serimizde cerrahi uygulanan 22 olgunun 4’ünde(%18.18) nüks izlendi ve nüks izlenen bu hastalarýn 3’ü(%75) katameniyal pnömotoraks idi.Pnömotoraksýn yerleþim yeri incelendiðinde; 22(% 50) olguda sað, 19(% 43.1) olgudasol, 3 (%6.8) olgudabilateral PSP mevcuttu.Olgularýn tümü semptomatik olup; nefes darlýðý ve göðüs aðrýsý 14(%31.8) olguda, yalnýzca nefes darlýðý 7(% 15.9) olguda ve yalnýzca göðüs aðrýsý 23(% 52.2) olguda görüldü.
TARTIÞMA ve SONUÇ: Primer spontan pnömotoraks kadýnlarda çok nadir görülmektedir. Nadir görülmesine raðmen özellikle katameniyal primer spontan pnömotoraks olanlar daha çok nüks gerçekleþtiðini düþünmekteyiz. Kadýn primer spontan pnömotoraks olgularý menstrüasyon sikluslarý sorgulanmalý ve katemeniyal pnömotoraks hep akýlda olmalýdýr.

Anahtar Kelimeler: Pnömotoraks, Spontan pnömotoraks, Katamenial pnömotoraks, Nüks

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