Segawa M, Touge M, Kusajima Y, Saito K
Department of Respiratory and Vascular Surgery, Toyama City Hospital, Toyama, Japan.
Kyobu Geka. 2011 May;64(5):430-3.
We reported a case of catamenial pneumothorax caused by diaphragmatic endometriosis that was histologically confirmed. A 49-year-old female who had recurrent chest pain and cough appearing on the day preceding each menstruation from 5 years ago. These episode suggested catamenial pneumothorax. Thoracotomy revealed the characteristic appearances of catamenial pneumothorax such as blueberry spots and multiple small holes on the central tendon of the right diaphragm. But there were no lesions on the visceral pleura of the lung. Partial resection of the diaphragm including these lesions were performed. Histological examination showing positive for estrogen receptor and progesterone receptor confirmed the presence of endometrial tissue on the diaphragm. The patient has been well controlled by therapy with gonadotropin releasing hormone, without recurrence of catamenial pneumothorax.
我们报告了一例经组织学证实由膈肌子宫内膜异位症引起的经期气胸病例。一名49岁女性，自5年前起，每次月经前一天都会反复出现胸痛和咳嗽。这些发作提示经期气胸。开胸手术显示了经期气胸的特征性表现，如蓝莓样斑点和右膈肌中央腱上的多个小孔。但肺脏胸膜未见病变。对包括这些病变的膈肌进行了部分切除。组织学检查显示雌激素受体和孕激素受体呈阳性，证实膈肌上存在子宫内膜组织。该患者通过促性腺激素释放激素治疗得到了良好控制，经期气胸未复发。
