Jablonski Christine, Alifano Marco, Regnard Jean-François, Gompel Anne
Université Paris Descartes, Paris, France.
Fertil Steril. 2009 Mar;91(3):930.e19-22. doi: 10.1016/j.fertnstert.2008.09.071. Epub 2008 Nov 1.
To elucidate the pathophysiology of catamenial pneumothorax (CP) due to thoracic endometriosis and support the theory of the transdiaphragmatic passage of air from the genital tract through diaphragmatic perforations caused by endometrial implants.
Three case reports.
Academic hospital.
PATIENT(S): Three women with pneumoperitoneum concomitant to CP.
INTERVENTION(S): Thoracic/abdominal computed tomography scans and chest x-rays.
MAIN OUTCOME MEASURE(S): Presence of pneumoperitoneum coexisting with CP.
RESULT(S): The observation of pneumoperitoneum associated with CP supports the theory of the transdiaphragmatic passage of air, which implies the occurrence of a pneumoperitoneum as an intermediate step.
CONCLUSION(S): Our three cases strongly support the theory of the transdiaphragmatic passage of air in the pathogenesis of CP.
阐明因胸段子宫内膜异位症导致的经期气胸（CP）的病理生理学，并支持空气经膈肌穿孔从生殖道通过膈肌进入胸腔这一理论，该穿孔由子宫内膜种植引起。
三例病例报告。
学术医院。
三名患有与CP并发的气腹的女性。
胸部/腹部计算机断层扫描和胸部X光检查。
与CP并存的气腹的存在情况。
观察到与CP相关的气腹支持了空气经膈肌进入胸腔的理论，这意味着气腹的发生是一个中间步骤。
我们的三例病例有力地支持了空气经膈肌进入胸腔在CP发病机制中的理论。
