| 摘要 |
Catamenial pneumothorax is a rare disease, with only over two hundred cases
reported since 1958. Its exact cause is still unknown, though many etiologies have postulated.
We present a 37-year-old non-smoking female whose menstruation was concurrent
with recurrent right-sided spontaneous pneumothorax. Computed-tomography
of the chest showed right-sided pneumothorax. At thoracoscopy, multiple fenestrations
were revealed on the tendinous part of the right hemidiaphragm. They
were resected and repaired for pathological studies. Microscopic findings revealed
mesothelial cells lining around the fenestrations. No endometrial gland was found. We
will describe and discuss the hypotheses of etiologies in our report. The treatment of
catamenial pneumothorax is controversial, including surgery, tube thoracotomy, fallopian
tube ligation and hormonal therapy. Surgical intervention together with hormonal
therapy remains the most effective way and conforms to the principle of
treatment. |
