A case of catamenial pneumothorax with diaphragmatic endometriosis

Susumu Kawano; Makoto Odaka; Hisashi Shioya; Hiroshi Takeyama; Tadashi Akiba; Kazunori Ochiai; Hiroyuki Takahashi; Yoji Yamazaki

doi:10.2995/jacsurg.12.535

Susumu Kawano, Makoto Odaka, Hisashi Shioya, Hiroshi Takeyama, Tadashi Akiba, Kazunori Ochiai, Hiroyuki Takahashi, Yoji Yamazaki

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Keywords: Catamenial pneumothorax, Diaphragmatic endometriosis, Thoracoscopic surgery

JOURNAL FREE ACCESS

1998 Volume 12 Issue 4 Pages 535-538

DOI https://doi.org/10.2995/jacsurg.12.535

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Abstract

A 44-year-old woman with several episodes of right pneumothorax related to onset of menstruation was reported. Thoracoscopic surgery revealed the presence of many small perforations in the central tendon of the right diaphragm.
Partial resection of the diaphragm including the lesions was performed under small thoracotomy assisted by thoracoscopy. Histological findings of the resected diaphragm showed stromal endometriosis surrounded by hemosiderin pigment deposits. Our case may give support to Maurer's hypothesis.

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