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月经性气胸

Catamenial pneumothorax.

作者信息

Mikroulis D A, Didilis V N, Konstantinou F, Vretzakis G H, Bougioukas G I

机构信息

Department of Cardiothoracic Surgery, Democritus University of Thrace, University Hospital of Alexandroupolis, Alexandroupolis, Greece.

出版信息

Thorac Cardiovasc Surg. 2008 Sep;56(6):374-5. doi: 10.1055/s-2006-924707.

Abstract

Catamenial pneumothorax is a rare entity of spontaneous, recurrent pneumothorax occurring in synchrony with the menstrual cycle. The etiology is not completely known, but in most cases it is associated with thoracic endometriosis and/or diaphragmatic fenestrations. We report a case of a 35-year-old woman with three episodes of catamenial pneumothorax. The surgical findings were thoracic endometriosis and diaphragmatic holes. She underwent resection of the affected part of the diaphragm and pleurodesis via a mini-thoracotomy and videothoracoscopy assistance.

摘要

月经性气胸是一种罕见的自发性复发性气胸,与月经周期同步发生。其病因尚不完全清楚,但在大多数情况下与胸腔子宫内膜异位症和/或膈肌开窗有关。我们报告一例35岁女性,有三次月经性气胸发作。手术发现为胸腔子宫内膜异位症和膈肌孔。她通过小切口开胸和电视胸腔镜辅助进行了膈肌受累部分的切除及胸膜固定术。

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