Slasky B S, Siewers R D, Lecky J W, Zajko A, Burkholder J A
AJR Am J Roentgenol. 1982 Apr;138(4):639-43. doi: 10.2214/ajr.138.4.639.
The diagnosis of catamenial pneumothorax should be suspected whenever a women in the third or fourth decade of life has recurrent right-sided chest pain temporally associated with menstruation. This entity was first described in 1958 and since then, 59 cases have been reported in the English literature. There is no universally accepted explanation for the pathogenesis of the pneumothorax. Four additional cases are presented which support the significant role that diaphragmatic defects and endometriosis play in the pathogenesis of catamenial pneumothorax. At thoracotomy, numerous small perforations of the right diaphragm were found in three patients, two of whom had associated endometriosis of that diaphragm. The fourth patient had indirect evidence of diaphragmatic defects proven by a diagnostic pneumoperitoneum. On the basis of the hypothesis of transfallopian passage of air, this patient was treated by tubal ligation only and has not had a recurrence of pneumothorax since. This form of therapy has not been reported previously for this disorder.
每当处于三四十岁的女性出现与月经时间相关的反复发作的右侧胸痛时，就应怀疑月经性气胸的诊断。该病症于1958年首次被描述，自那时起，英文文献中已报道了59例。对于气胸的发病机制尚无普遍接受的解释。本文报告了另外4例病例，这些病例支持膈肌缺损和子宫内膜异位症在月经性气胸发病机制中所起的重要作用。在开胸手术中，3例患者的右侧膈肌发现了许多小穿孔，其中2例患者的膈肌伴有子宫内膜异位症。第4例患者通过诊断性气腹术有膈肌缺损的间接证据。基于空气经输卵管通道的假说，该患者仅接受了输卵管结扎治疗，此后气胸未再复发。这种治疗方式此前尚未见针对该病症的报道。
