10^th Annual Congress on Pulmonology & Respiratory Medicine February 27-28, 2019 Paris, France

Dr. Venkata Kishore Mukku is an internal medicine resident at Baton Rouge General Interanal Medicine Residency Program affiliated to Tulane Univeristy School of Medicine. Currently, he is doing 2nd year of internal medicine. He has 9 peer reviewed published articles and 10 abstracts.

Catamenial pneumothorax (CP) is a rare cause of spontaneous pneumothorax that affects predominantly in women of child bearing age. In the literature, only a few cases of CP with diaphragmatic defect and liver herniation are reported. CP is most common in premenopausal women age 30–50 years with peak incidence between 30-35 years. CP typically occurs within 72 to 96 hours of onset of menstruation. CP is associated with pelvic endometriosis in 30-50% of cases, and almost always involving the right side of thorax. Etiology of CP is poorly understood but several proposed theories such as migration of air from peritoneal cavity into the pleural space through pre-existing diaphragmatic defects, retrograde implantation of endometrial tissue through diaphragmatic defects, lymphatic or hematogenous spread of endometrial tissue to visceral pleura and spontaneous rupture of blebs during hormonal changes.