Catamenial Pneumothorax Caused by Diaphragmatic Endometriosis

Chun‐Hsiung Huang, Yeung‐Leung Cheng, Shih-Chun Lee, Cheng-Ping Yu
In: 胸腔醫學 · 2003 · vol. 18(5) , pp. 433–436 · doi:10.29806/tm.200310.0007 · W2246536900
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Abstract

Catamenial pneumothorax is a rare disease. The etiology and pathogenesis of this syndrome has remained enigmatic. Many hypotheses have been proposed including anatomical, physiological, and metastatic models. Each hypothesis has been criticized because of a lack of a unifying source for each report in the literature. We report a 39-year-old woman presenting with monthly right thoracic pain occurring before menstruation. Thoracic endometriosis was confirmed histologically after a thoracotomy with biopsy.
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- 期刊 月經性氣胸是一個臨床上相當少見的疾病，不論在好發年齡，性別，體型，以及主要發生在右側等特性均與一般之自發性氣胸有所不同。迄今在英文文獻報告上僅有一百多例。造成月經性氣胸的原因及致病機轉至今仍是難以理解，目前有許多假說被學者們所提出，包括有：解剖學上模式，生理學的模式，以及轉移的模式。每一種假說均有其理論基礎，但沒有一種假說能解釋所有病人的情形。所以至今仍無定論。 本篇文章我們介紹一個病例為39歲女性每次月經來時常合併右側胸痛，經開刀處理及病理切片後，證實為胸腔之子宮內膜異位症所引發之自發性氣胸。經治療後至今未再復發。同時希望藉由本篇文章之討論能引起更多臨床醫師的注意，以期能揭開月經性氣胸之神秘面紗。 Catamenial pneumothorax is a rare disease. The etiology and pathogenesis of this syndrome has remained enigmatic. Many hypotheses have been proposed including anatomical, physiological, and metastatic models. Each hypothesis has been criticized because of a lack of a unifying source for each report in the literature. We report a 39-year-old woman presenting with monthly right thoracic pain occurring before menstruation. Thoracic endometriosis was confirmed histologically after a thoracotomy with biopsy.

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