• J Emerg Med · Jul 2012

    Case Reports

    A case of catamenial pneumothorax with diaphragmatic fenestrations.

    • Zeena Makhija and Michael Marrinan.
    • Department of Cardiothoracic Surgery, Kings College Hospital, Denmark Hill, London, United Kingdom. profknow171@yahoo.com
    • J Emerg Med. 2012 Jul 1;43(1):e1-3.

    BackgroundConsiderable 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.ObjectiveTo contribute evidence to the knowledge base on the pathogenesis of catamenial pneumothorax.Case ReportWe 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.ConclusionOur 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.Copyright © 2012 Elsevier Inc. All rights reserved.

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