Hasumi T, Yamanaka S, Yamanaka H, Suda H
Department of Thoracic Surgery, Ohta Nishinouchi Hospital, Kohriyama, Japan.
Kyobu Geka. 2003 Jun;56(6):513-5.
A 27-year-old female was complained repeated right pneumothorax. Each episode was obviously related to the onset of menstruation, suggesting catamenial pneumothorax. Thoracoscope revealed the presence of several fistulas in the central tendon of the diaphragm. Partial resection of the diaphragm including these lesions was performed under thoracoscopic procedure. Microscopic examination of the excised specimen showed endometriosis. The patient was followed without hormonal therapy, but recurrent pneumothorax occurred. For the catamenial pneumothorax, hormonal treatment is considered necessary even after surgical treatment.
一名27岁女性反复出现右侧气胸。每次发作都明显与月经来潮有关，提示为月经性气胸。胸腔镜检查发现膈肌中心腱有多个瘘管。在胸腔镜手术下对包括这些病变的膈肌进行了部分切除。切除标本的显微镜检查显示为子宫内膜异位症。患者未接受激素治疗进行随访，但气胸复发。对于月经性气胸，即使在手术治疗后，也认为有必要进行激素治疗。
