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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A 39-year-old woman with catamenial pneumothorax was diagnosed with thoracic endometriosis following histological confirmation via biopsy during a thoracotomy.

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This case report describes a 39-year-old woman experiencing right-sided thoracic pain coinciding with her menstrual cycle, a presentation consistent with catamenial pneumothorax. The etiology of this rare condition remains poorly understood despite various anatomical and physiological hypotheses proposed in the literature. Surgical intervention via thoracotomy with biopsy confirmed the diagnosis of thoracic endometriosis, leading to successful treatment and no recurrence. This paper is centrally about endometriosis — specifically the manifestation of diaphragmatic or thoracic endometriosis causing catamenial pneumothorax.

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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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endometriosisthoracic_endometriosis

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