Okada Y, Handa M, Inaba H, Shimada K, Kondo T, Fujimura S
Department of Surgery, Tohoku University.
Kyobu Geka. 1992 Aug;45(9):801-4.
A case of catamenial pneumothorax with diaphragmatic and pulmonary endometriosis is presented. A 43-year-old, married woman had three times of recurrent right pneumothorax during the period from January to July on 1990. Each episode was apparently related to the onset of the menstruation suggesting catamenial pneumothorax. Right thoracotomy revealed a perforation of the diaphragm and five black spots on the visceral pleura. Involved portion both diaphragm and lung were excised. Microscopic examination of the excised specimens showed endometrial stroma in the diaphragm and subpleural layer of the lung. Although it has been postulated that intrathoracic endometriosis is a possible cause of the pneumothorax, very few cases have been reported in which pulmonary or pleural endometriosis was demonstrated histologically. Surgical and pathologic findings are documented discussing the relationship of both conditions in this report.
本文报告一例伴有膈和肺子宫内膜异位症的月经期气胸病例。一名43岁已婚女性在1990年1月至7月期间反复出现三次右侧气胸。每次发作显然都与月经来潮有关，提示为月经期气胸。右侧开胸手术发现膈肌有一处穿孔，脏层胸膜上有五个黑点。切除了受累的膈肌和肺组织。对切除标本的显微镜检查显示，膈肌和肺脏胸膜下有子宫内膜间质。虽然推测胸腔内子宫内膜异位症可能是气胸的病因，但经组织学证实有肺或胸膜子宫内膜异位症的病例报道极少。本报告记录了手术和病理结果，并讨论了这两种情况之间的关系。
