Goorsenberg Annika W M, Pruis Marit, Boshuizen Rogier C, Hindori Vikash, Slaar Annelie, Bresser Paul
Onze Lieve Vrouwe Gasthuis, afd. Longgeneeskunde, Amsterdam.
Contact: R.C. Boshuizen (
Ned Tijdschr Geneeskd. 2018 May 2;162:D2340.
Thoracic endometriosis (TE) is one of the causes of secondary pneumothorax in women. According to the literature, 1 in 3 premenopausal women with pneumothorax can be diagnosed with 'catamenial pneumothorax'. The diagnosis is often not or only belatedly made in practice, even though treatment is significantly different than that of primary pneumothorax.
A 40-year-old woman came to the emergency department because of dyspnoea and right-sided chest pain. The patient had recurrent pneumothorax and chest pain related to the menstrual cycle. Thoracoscopy revealed thoracic endometriosis. The endometriosis lesions were removed and the patient subsequently received hormonal menstrual suppression treatment.
In premenopausal women with pneumothorax or a recurrence of pneumothorax, it is important to consider catamenial pneumothorax. Infertility, earlier proven abdominal endometriosis and chest pain linked to menstruation are indications of thoracic endometriosis or catamenial pneumothorax.
胸腔子宫内膜异位症（TE）是女性继发性气胸的病因之一。根据文献，每3名绝经前气胸女性中就有1名可被诊断为“月经性气胸”。在实际中，即使其治疗与原发性气胸有显著差异，但该诊断往往未被做出或仅被延迟做出。
一名40岁女性因呼吸困难和右侧胸痛前往急诊科。该患者有与月经周期相关的复发性气胸和胸痛。胸腔镜检查显示胸腔子宫内膜异位症。切除了子宫内膜异位症病灶，患者随后接受了激素性月经抑制治疗。
对于绝经前气胸或气胸复发的女性，考虑月经性气胸很重要。不孕、较早确诊的腹部子宫内膜异位症以及与月经相关的胸痛是胸腔子宫内膜异位症或月经性气胸的指征。
