Majak Peter, Langebrekke Anton, Hagen Ole Magnus, Qvigstad Erik
Department of Thoracic Surgery, Oslo University Hospital, Ulleval HF,Kirkeveien 166, 0407 Oslo Norway.
Pneumonol Alergol Pol. 2011;79(5):347-50.
Pleural endometriosis is a rare condition. Spontaneous, recurring pneumothorax occurring during menstruation, referred to as catamenial pneumothorax, is associated with pleural endometriosis. A multidisciplinary approach is needed for a successful result.
During the last five years (2005-2010), we have treated six patients with menstruation related pneumothorax at Oslo University Hospital. The surgical treatment was performed by the thoracic surgery department but the medical follow-up was carried out by the gynecological and pulmonary medicine departments.
We report three of the patients treated. All three patients were premenopausal, aged 19-36, and had recurring, menstruation related, spontaneous pneumothorax, predominantly on the right side. The condition was treated by various surgical approaches, including chest tube drainage, video assisted thoracic surgery, chemical pleurodeses and thoracotomy.
Spontaneous, recurring pneumothorax in women with no previous history of endometriosis can be the first manifestation of pleural endometriosis. The disorder requires surgical intervention, but early diagnosis and postoperative hormonal therapy are just as important for a successful outcome.
胸膜子宫内膜异位症是一种罕见病症。在月经期间发生的自发性复发性气胸，即月经性气胸，与胸膜子宫内膜异位症相关。要取得成功的治疗效果，需要多学科方法。
在过去五年（2005 - 2010年）间，我们在奥斯陆大学医院治疗了6例与月经相关的气胸患者。手术治疗由胸外科进行，但医疗随访由妇科和肺科进行。
我们报告了所治疗的3例患者。所有3例患者均处于绝经前，年龄在19至36岁之间，有复发性、与月经相关的自发性气胸，主要发生在右侧。采用了多种手术方法进行治疗，包括胸腔闭式引流、电视辅助胸腔手术、化学性胸膜固定术和开胸手术。
既往无子宫内膜异位症病史的女性出现自发性复发性气胸可能是胸膜子宫内膜异位症的首发表现。该病症需要手术干预，但早期诊断和术后激素治疗对取得成功的治疗效果同样重要。
