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Ann Thorac Surg 2003;76:290-291
© 2003 The Society of Thoracic Surgeons

Case report

Catamenial pneumothorax caused by endometriosis in the visceral pleura

Kazuhiro Sakamoto, MDa*, Takahiro Ohmori, MDa, Hidefumi Takei, MDa

a Department of Respiratory Surgery, Yokohama Rosai Hospital, Yokohama, Japan

Accepted for publication December 31, 2002.

* Address reprint requests to Dr Sakamoto, First Department of Surgery, Yokohama City University School of Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, Japan
e-mail: saka784{at}lycos.jp

Catamenial pneumothorax is a rare clinical entity of unknown etiology. The most well known hypothesis is passage of air from the genital tract through endometrial fenestrations in the diaphragm. Although some reports are associated with diaphragmatic endometriosis, few have been confirmed endometrial implants in the visceral pleura. We describe a very rare case of catamenial pneumothorax caused by ectopic endometriosis in the visceral pleura confirmed histopathologically in a woman 1-year after hysterectomy.




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