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A case of catamenial pneumothorax with diaphragmatic fenestrations
Zeena Makhija1, Michael Marrinan
1Department of Cardiothoracic Surgery, Kings College Hospital, Denmark Hill, London, United Kingdom. profknow171@yahoo.com
Background:
Considerable controversy exists with regards to the physiopathogenesis of catamenial pneumothorax. The rarity of catamenial pneumothorax makes understanding of its pathophysiology and verification of etiological mechanisms difficult.
Objective:
To contribute evidence to the knowledge base on the pathogenesis of catamenial pneumothorax.
Case Report:
We describe a case of catamenial pneumothorax with images that substantiate the pore hypothesis as a cause of recurrence of air in the pleural cavity in this patient.
Conclusion:
Our case report contributes evidence that transperitoneal migration of endometrial implants may occur through diaphragmatic fenestrations. Surgical options may be more viable to prevent recurrent pneumothoraces in such patients.
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