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Ann Thorac Surg 1999;68:1413-1414
© 1999 The Society of Thoracic Surgeons

Case Reports

Visualization of diaphragmatic fenestration associated with catamenial pneumothorax

Clayton T. Cowl, MD, MSa, William F. Dunn, MDa, Claude Deschamps, MDa

a Division of Pulmonary and Critical Care Medicine and Section of General Thoracic Surgery, Mayo Medical Center and Mayo Graduate School of Medicine, Rochester, Minnesota, USA

Address reprint requests to Dr Cowl, Division of Pulmonary and Critical Care Medicine, Mayo Medical Center, 200 First St SW, Rochester, MN 55905
e-mail: cowl.clayton{at}mayo.edu

Catamenial pneumothorax is a rare entity of unknown etiology characterized by recurrent accumulation of air in the thoracic space during or preceding menstruation. We documented the presence of a diaphragmatic fenestration during thoracoscopy, lending support for hypotheses involving diaphragmatic defects as possible avenues of air collection in the thorax.




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