Department of Cardiovascular surgery, CHU Sart-Tilman, Liège, Belgium.
Acta Chir Belg. 2023 Jun;123(3):305-308. doi: 10.1080/00015458.2021.1978148. Epub 2021 Sep 16.
A 43-year-old woman presented with right-sided chest discomfort associated with dyspnea. The symptoms were related to the menstrual cycle and the patient has already presented several similar episodes. The Chest computed tomography (chest-CT) showed a partial right pneumothorax. A thoracoscopy was performed and demonstrated some diaphragmatic fenestrations. The diagnosis of a catamenial pneumothorax was established. The catamenial pneumothorax is a rare condition affecting the women in the reproductive period and is located most of the time in the right-side. The treatment is mainly surgical with the realization of a thoracoscopy. However, a medical treatment may be sometimes necessary.
一位 43 岁女性因右侧胸痛伴呼吸困难就诊。这些症状与月经周期有关，且该患者已出现过几次类似的发作。胸部计算机断层扫描（chest-CT）显示部分性右侧气胸。进行了胸腔镜检查，显示存在一些横膈膜裂孔。诊断为月经性气胸。月经性气胸是一种罕见的疾病，影响生殖期女性，且多位于右侧。主要治疗方法是通过胸腔镜进行手术，但有时也需要进行药物治疗。
