Amar A, De Thore J, Rose P, Elizabeth L, Valyi L, Marry J P, Jougon J, François H
Service de Chirurgie O.B., Hôpital Pierre Zobda-Quitman, CHR de Fort-de-France, Martinique.
Ann Chir. 1992;46(6):530-4.
Two cases of catamenial pneumothorax are reported, a rare condition characterized by its sudden occurrence in a female patient between the ages of 30 and 40 years, always at the onset of the menstrual cycle. Its exact origin is unknown, but the frequent co-existence of endometriosis and a defect in the diaphragm suggests that endometriosis may be important in the etiology both of the pneumothorax and the diaphragmatic lesion. Pelvic endometriosis was present in both our patients, one of whom also had diaphragmatic endometriosis. The treatment of the pneumothorax in both our cases consisted of pleural decortication with excellent results so far.
本文报告了两例月经期气胸病例，这是一种罕见病症，其特征为在30至40岁女性患者中突然发病，且总是在月经周期开始时出现。其确切病因尚不清楚，但子宫内膜异位症与膈肌缺损常同时存在，这表明子宫内膜异位症可能在气胸和膈肌病变的病因中起重要作用。我们的两名患者均存在盆腔子宫内膜异位症，其中一名患者还患有膈肌子宫内膜异位症。我们这两例病例中的气胸治疗均采用了胸膜剥脱术，目前效果良好。
