A surgical case of recurrent and worsening catamenial pneumothorax triggered by childbirth

H. Watanabe, Yoshito Imamura, Toshiki Okasaka, Yoshinori Hiramatsu
In: The Journal of the Japanese Association for Chest Surgery · 2021 · vol. 35(4) , pp. 320–325 · doi:10.2995/jacsurg.35.320 · W3161625801
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This case report describes a 36-year-old woman who experienced recurrent catamenial pneumothorax after childbirth, necessitating chest tube drainage and subsequent surgical resection of diaphragm defects.

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Abstract

症例は36歳の女性．34歳時に月経後に右気胸を発症，以降毎月右気胸を繰り返していたがいずれも胸腔ドレナージは要さなかった．35歳時に妊娠後は気胸の発症なく経過，帝王切開で出産した．産後2日目に右気胸を発症，安静のみで経過観察していたが，産後7日目に増悪し胸腔ドレナージを施行した．産後30日目に手術を施行し，右肺上葉の臓側胸膜の肥厚および横隔膜に複数の小孔を認め，右肺上葉と横隔膜の部分切除を施行した．術後2ヵ月からジエノゲストの内服を行い，2年経過の現在も再発は認めていない．

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last seen: 2026-06-04T00:00:01.174412+00:00
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