A Case of Catamenial Pneumothorax with Diaphragmatic Fenestrations

Makhija Z, Zeena Makhija, Marrinan M, Michael Marrinan
The Journal of emergency medicine · 2009 · vol. 43(1) , pp. e1–e3 · doi:10.1016/j.jemermed.2009.05.023 · PMID:19682826 · W2057405446
article OA: closed CC0 ⤵ 8 in-corpus citations
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⚙ AI-generated summary by claude@2026-07, 2026-07-18 ⓘ

This case report presents evidence of diaphragmatic fenestrations contributing to transperitoneal migration of endometrial implants, potentially causing recurrent catamenial pneumothorax.

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Abstract

BackgroundConsiderable controversy exists with regards to the physiopathogenesis of catamenial pneumothorax. The rarity of catamenial pneumothorax makes understanding of its pathophysiology and verification of etiological mechanisms difficult.ObjectiveTo contribute evidence to the knowledge base on the pathogenesis of catamenial pneumothorax.Case reportWe describe a case of catamenial pneumothorax with images that substantiate the pore hypothesis as a cause of recurrence of air in the pleural cavity in this patient.ConclusionOur case report contributes evidence that transperitoneal migration of endometrial implants may occur through diaphragmatic fenestrations. Surgical options may be more viable to prevent recurrent pneumothoraces in such patients.

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Condition tags

endometriosis

MeSH descriptors

Diaphragm Endometriosis Pneumothorax Adult Diaphragm Diaphragm Endometriosis Endometriosis Endometriosis Female Humans Pneumothorax Pneumothorax Recurrence

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Cited by (8)

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