AlAqeel S, AlJehani Y, AlMuhaish M
National Guard Hospital, Al-Ahsa, P.O. BOX: 3165, Dammam, Saudi Arabia.
King Fahad University Hospital, P.O. BOX 31774, Khobar, 31952, Saudi Arabia.
Int J Surg Case Rep. 2019;61:271-274. doi: 10.1016/j.ijscr.2019.07.067. Epub 2019 Jul 31.
Catamenial pneumothorax (CP) is a rare and usually miss diagnosed condition that is often characterized by non- specific respiratory or gynecological symptoms. A high index of suspicion is warranted for early diagnosis and management.
We present a case of 34 year old female who presented with shortness of breath and dyspnea.
The radiological diagnosis was pneumothorax with further history, it was apparent that is was a case of primary infertility secondary to possible pelvic endometriosis. She was treated as a case of bilateral catamenial hemopneumothorax after confirming the diagnosis through surgical exploration & repair of right hemidiaphragm.
This case demonstrate the extensive bilateral catamenial hemopnemothorax which is limitedly described in the literature index of suspicion & early diagnosis and management would ensure multiple admission & recurrence.
月经性气胸（CP）是一种罕见且常被误诊的疾病，通常表现为非特异性的呼吸或妇科症状。高度怀疑对于早期诊断和治疗至关重要。
我们报告一例34岁女性，表现为呼吸急促和呼吸困难。
放射学诊断为气胸，进一步询问病史后，发现这是一例继发于可能的盆腔子宫内膜异位症的原发性不孕症病例。通过手术探查和修复右半膈肌确诊后，她被当作双侧月经性血气胸病例进行治疗。
本病例展示了广泛的双侧月经性血气胸，文献中对此描述有限，高度怀疑及早期诊断和治疗可避免多次住院及复发。
