A patient with catamenial pneumothorax confirmed to have ectopic endometrial tissue in multiple holes of the diaphragm

In: The Journal of the Japanese Association for Chest Surgery · 2019 · vol. 33(6) , pp. 604–607 · doi:10.2995/jacsurg.33.604 · W2972799183
article OA: diamond CC0
AI-generated summary by claude@2026-06, 2026-06-09

This case report details a 49-year-old female with recurrent right pneumothorax, whose diaphragm was found to have multiple defects containing ectopic endometrial tissue, confirming catamenial pneumothorax.

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Abstract

症例は49歳,女性,右気胸による7度の入院歴と1度の手術歴があった.気胸の発症は月経周期との関係は乏しかった.8度目の入院時,診断・治療目的に胸腔鏡下手術を行ったところ,右横隔膜に多数の欠損孔を認めたため,横隔膜部分切除を施行した.病理検査にて,横隔膜腹腔側を中心に異所性子宮内膜組織を認め,月経随伴性気胸と診断した.月経周期に一致しない場合でも,女性の反復する気胸を認めた場合には,月経随伴性気胸を疑い,診断・治療のために手術を行うことが重要である.

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