Korean J Thorac Cardiovasc Surg.
2005 Jul;38(7):518-521.
Spontaneous Pneumothorax associated with Thoracic Endometriosis: Report of a case
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, College of Medicine, Inha University, Incheon, Korea. khkim@inha.ac.kr
- 2Department of Diagnostic Radiology, College of Medicine, Inha University, Incheon, Korea.
- 3Department of Pathology, College of Medicine, Inha University, Incheon, Korea.
Abstract
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Pneumothorax associated with thoracic endometriosis is a rare clinical entity and it is called catamenial pneumothorax if the recurrence of pneumothorax is related to the period of menstruation. Several hypotheses about its pathogenesis are suggested including spontaneous rupture of the bulla, endometrial implants of the visceral pleura, and passage of air from the genital tract through endometrial fenestration of the diaphragm. Pneumothorax is associated with chest pain and dyspnea within 72 hours of the onset of menses in young women and developed usually at right side. We report a case of 32-year-old woman who had bilateral pneumothorax and thoracic endometriosis confirmed histopathologically in the visceral pleura by thoracotomy.