title: Catamenial pneumothorax associated with multiple diaphragmatic perforations and pneumoperitoneum in a reproductive woman.
abstract: Catamenial pneumothorax (CP) is considered to be an extremely rare entity, characterized by recurrent pneumothorax occurring between the day before and within 72 hours after the onset of menses, usually in the right-side thorax cavity in women of reproductive age.The etiology remains obscure. We report a rare case of CP complicated with multiple diaphragmatic perforations as the only thoracoscopy finding, and also with right-side isolated pneumoperitoneum confirmed by a chest X-ray. This case strongly supports the hypothesis that CP may be caused by the air through the perforations of the diaphragm.
authors.affiliation: Department of Cardiothoracic Surgery, Fuzhou General Hospital, Fuzhou, China.
authors.forename: Lin
authors.initials: L
authors.lastname: Baoquan
authors.affiliation: Department of Cardiothoracic Surgery, Changhai Hospital, Shanghai, China. Electronic address: zouliangjian@hotmail.com.
authors.forename: Zou
authors.initials: Z
authors.lastname: Liangjian
authors.affiliation: Department of Cardiothoracic Surgery, Changhai Hospital, Shanghai, China.
authors.forename: Wang
authors.initials: W
authors.lastname: Qiang
authors.affiliation: Department of Cardiothoracic Surgery, Changhai Hospital, Shanghai, China.
authors.forename: Jin
authors.initials: J
authors.lastname: Hai
authors.affiliation: Department of Cardiothoracic Surgery, Changhai Hospital, Shanghai, China.
authors.forename: Chen
authors.initials: C
authors.lastname: Hezhong
authors.affiliation: Department of Cardiothoracic Surgery, Changhai Hospital, Shanghai, China.
authors.forename: Xu
authors.initials: X
authors.lastname: Zhiyun
mesh_terms: D000328:Adult; D003964:Diaphragm; D005260:Female; D006801:Humans; D011027:Pneumoperitoneum / Q000150:complications*; D011030:Pneumothorax / Q000209:etiology*; D020775:Thoracic Surgery, Video-Assisted
keywords: catamenial pneumothorax; diaphragmatic perforations; pneumoperitoneum