Laws H L, Fox L S, Younger J B
Arch Surg. 1977 May;112(5):627-8. doi: 10.1001/archsurg.1977.01370050087015.
Bilateral catamenial pneumothorax occurred in a 32-year-old parous woman. The 41 previously reported cases of catamenial pneumothorax occurred on the right side. This patient was treated with left-sided pleurodesis and, subsequently, with hysterectomy and bilateral salpingo-oophorectomy. The pathologic mechanism of this peculiar syndrome has been attributed to reflux of air via the genitalia and fenestrations in the diaphragm, menstrual shedding of endometrial cells growing in the visceral pleura, or, possibly, aveolar tissue damage secondary to vascular and bronchiolar spasm resulting from dinoprost tromethamine released from menstrual debris. Treatment needs to be tailored to fit the individual patient's specific pelvic and intrathoracic pathology and procreative desires.
一名32岁经产妇发生双侧月经性气胸。此前报道的41例月经性气胸均发生在右侧。该患者接受了左侧胸膜固定术，随后进行了子宫切除术和双侧输卵管卵巢切除术。这种特殊综合征的病理机制被认为是空气经生殖道和膈肌小孔反流、种植于脏层胸膜的子宫内膜细胞经期脱落，或者可能是月经碎片释放的地诺前列素 tromethamine 导致血管和细支气管痉挛继发肺泡组织损伤。治疗需要根据个体患者特定的盆腔和胸腔内病理情况以及生育需求进行调整。
