Menstrual pneumothorax is associated with the menstrual cycle and is usually recurrent . This pathology is rare, until 1977 there were only 29 cases . Typically, the primary menstrual pnevmoto raks occurs in women older than 30 years. NC 20 cases, the dawn -registered Lillington and colleagues , in one case, a pneumothorax was observed in women younger than 25 years. When menstrual pneumothorax symptoms of respiratory Nia develop through 24-48 h after the onset of menstruation . Development menstrual pneumothorax is more likely if before menstruation experienced physical or emotional ny stress. Menstrual pneumothorax usually RIGHT Nij, but there are also reports of left-sided n even dvusto sided pneumothorax .
Pathogenesis
The pathogenesis of menstrual pneumothorax is not exactly known. When the syndrome was first described by Maurer and Soave , the authors hypothesized that during menstruation the air penetrates into the abdominal cavity, and then through a defect in the diaphragm – the pleural cavity, as in the first describe the sleigh of the patients had a defect in the diaphragm. However, given nym Lillington, from 18 patients who underwent the torus cat, diaphragm defect was observed only in three cases, while 6 NC 18 patients had pleural effusion or dnafragmalny endometriosis . Stern et al. not long- informed yet about 5 cases of menstrual pnevmotorak sa. All of these patients had a defect in the diaphragm. The authors believe that in many cases previously described defect IRIS Ragmi remained undiagnosed . If indeed the formation of menstrual pneumothorax caused by the action of the IU nisms, why most women do not have free WHO spirit in the abdominal cavity during menstruation?
Diagnosis and treatment
Diagnosis of menstrual pneumothorax is not difficult, if you remember the possibility of the development of this type of pneumothorax. The probability of formation of pneumothorax should be borne in mind every woman over the age of 25 years, if it has a cart nickname pneumothorax in the first 48 hours after the onset of menstruation. For the treatment to use drugs that suppress ovulation tion . Recurrences were observed while ovulation is submitting the county. If for any reason the patient can not at Nima these drugs or wants to keep ovulation svya in connection with the desire to become pregnant, you should consider thoracotomy . At thoracotomy necessary to take in subpleural Blvd. ly, carefully inspect the diaphragm for detecting defects in it for the purpose of suturing . In addition, the scarification of the pleura should be performed to ensure the effectiveness of pleurodesis .