Anastasio C, Wémeau-Stervinou L, Jaillard S, Mariage P, Wallaert B
Service de pneumologie et immunoallergologie, centre des compétences des maladies pulmonaires rares, université de Lille 2, hôpital Calmette, 59037 Lille, France.
Rev Pneumol Clin. 2013 Feb;69(1):50-4. doi: 10.1016/j.pneumo.2012.11.005. Epub 2013 Jan 14.
The catamenial pneumothorax (CP) is defined as recurrent pneumothorax occurring from the day before menstruations until 72 hours after their beginning, but remains a diagnostic and therapeutic problem. We herein report the cases of two young women who presented several episodes of pneumothorax. The first patient (28 years old) underwent 18 recurrent pneumothorax before the diagnosis of CP. The video-assisted mini-thoracotomy found many diaphragmatic perforations, which were sutured after resection and biopsy. The latter patient underwent four pneumothorax before diagnosis of CP. A video-assisted mini-thoracotomy associated with pleurectomy and pleural freshening was then performed. CP is a rare entity of spontaneous pneumothorax often associated with thoracic endometriosis. The difficulty remains in diagnosis (diagnostic delay before the start of appropriate care), as well as in the treatment. Overall, CP requires a multidisciplinary approach combining pulmonology, thoracic surgery and gynecology.
月经性气胸（CP）被定义为在月经前一天至月经开始后72小时内反复发生的气胸，但它仍然是一个诊断和治疗难题。我们在此报告两名年轻女性反复出现气胸发作的病例。首例患者（28岁）在诊断为CP之前经历了18次复发性气胸。电视辅助小切口开胸手术发现许多膈肌穿孔，在切除和活检后进行了缝合。后一例患者在诊断为CP之前经历了4次气胸。随后进行了电视辅助小切口开胸手术并联合胸膜切除术和胸膜清创术。CP是一种罕见的自发性气胸类型，常与胸腔子宫内膜异位症相关。诊断（开始适当治疗前的诊断延迟）以及治疗方面仍然存在困难。总体而言，CP需要肺科、胸外科和妇科相结合的多学科方法。
