Royal Papworth Hospital Addenbrookes Biomedical Campus, UK.
Papworth Hospital NHS Foundation Trust, UK.
Ann R Coll Surg Engl. 2022 Apr;104(4):e109-e112. doi: 10.1308/rcsann.2021.0164. Epub 2021 Nov 26.
Thoracic endometriosis syndrome is an under-recognised manifestation of endometriosis and includes catamenial pneumothorax, catamenial haemothorax, catamenial haemoptysis and pulmonary nodules. Catamenial pneumothorax presents as recurrent spontaneous pneumothorax with a temporal relationship to the onset of menses, affecting mostly the right lung. A 48-year-old woman presented with an eight-year history of right-sided catamenial pneumothorax, during which time she had three episodes of pneumothorax. Serial chest imaging revealed an enlarging mass overlying the right hemi-diaphragm. She was referred to our trust where she underwent video-assisted thoracoscopic surgery for right pleurectomy. Intraoperatively, defects were found in the right hemidiaphragm, through which parts of the liver had herniated. We describe the presenting features and management of catamenial pneumothorax.
胸腔子宫内膜异位症综合征是子宫内膜异位症的一种被低估的表现形式，包括月经性气胸、月经性血胸、月经性咯血和肺结节。月经性气胸表现为与月经初潮相关的复发性自发性气胸，主要影响右肺。一名 48 岁女性因右侧月经性气胸八年病史就诊，期间发生三次气胸。连续胸部影像学检查显示右半膈肌上方有一个增大的肿块。她被转至我们医院，在那里接受了右侧胸膜切除术的电视辅助胸腔镜手术。术中发现右膈肌有缺陷，部分肝脏疝出。我们描述了月经性气胸的表现特征和治疗方法。
