Voláková E, Kolek V, Kufa J, Zatloukal J, Chudáček J, Szkorupa M, Pilka R
Ceska Gynekol. 2017 Fall;82(4):308-312.
Catamenial pneumothorax is menstrual cycle dependent and represents the most common form of thoracic endometriosis syndrome. Recurrences are very common even after surgical resection.
Case reports and literature overview.
Department of Respiratory Medicine, Department of Surgery I, Department of Obstetrics and Gynecology, University Hospital, Palacky University, Olomouc.
Two cases of catamenial pneumothorax are presented with repeated recurrences of right-sided pneumothorax even after surgical treatment. Histopathologic finding of pelvic endometriosis was shown in both patients.
Catamenial pneumothorax is usually connected with thoracic endometriosis and also includes catamenial hemothorax, recurrent catamenial hemoptysis, catamenial pleural pain as well as endometriosis lung nodules. Multidisciplinary approach including pneumologist, thoracic surgeon and gynecologist with early postoperative hormonal treatment that deals with the main chronic systemic disease may lead to improved results, mainly reduced recurrence rates of catamenial and/or endometriosis related pneumothorax.
月经性气胸与月经周期相关，是胸腔子宫内膜异位症综合征最常见的形式。即使手术切除后复发也很常见。
病例报告及文献综述。
奥洛穆茨帕拉茨基大学大学医院呼吸内科、第一外科、妇产科。
报告两例月经性气胸病例，即使经过手术治疗，右侧气胸仍反复复发。两名患者均显示盆腔子宫内膜异位症的组织病理学表现。
月经性气胸通常与胸腔子宫内膜异位症相关，还包括月经性血胸、复发性月经性咯血、月经性胸膜疼痛以及子宫内膜异位症肺结节。多学科方法，包括呼吸科医生、胸外科医生和妇科医生，并在术后早期进行激素治疗以应对主要的慢性全身性疾病，可能会改善治疗效果，主要是降低月经性和/或与子宫内膜异位症相关的气胸复发率。
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