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Diaphragmatic Laceration, Partial Liver Herniation and Catamenial Pneumothorax

U.O. of Thoracic Surgery, Department of Surgical Science, University of Parma, Parma, Italy

For reprint information contact: Antonio Bobbio, MD Tel: 39 34 0687 4733 Fax: 39 05 2199 2019 Email: antonio.bobbio{at}unipr.it, U.O. Chirurgia Toracica, Università di Parma, Azienda Ospedaliera di Parma, Viale Gramsci 14, 43100 Parma, Italy.

Catamenial pneumothorax is a recurrent pneumothorax temporally associated with menstruation. Pathogenesis remains debated however pleural endometriosis or diaphragmatic abnormalities are almost always present. We report the case of a 35-year-old woman with recurrent right catamenial pneumothorax. At thoracoscopy a large laceration of the diaphragm with partial intrathoracic liver herniation was seen. Treatment involved repair of the diaphragmatic lacerations, and pleurodesis. This report shows that large diaphragmatic defects may be observed in patients with catamenial pneumothorax.