This case report describes a woman in her late forties with right chest pain one day before menstruation, a right pneumothorax and a massive right diaphragmatic defect allowing the right liver lobe, gallbladder and upper renal pole to herniate into the chest.
Key findings
- The patient remained asymptomatic without recurrence over 18 months. The case suggests that catamenial pneumothorax can accompany advanced chronic diaphragmatic pathology even at an apparent first clinical presentation.
Why this matters globally
The report alerts clinicians to inspect the diaphragm and abdominal viscera in cycle-related pneumothorax and highlights thoracic, abdominal and gynaecological coordination.
Thai researcher contribution
Supakorn Srihattapadungkit of Huachiew Hospital and Jakraphan Yu and Sira Laohathai of Vajira Hospital contributed to the case; Crossref confirms Bangkok, Thailand affiliations.
Limitations to consider
This is one uncontrolled case and cannot separate effects of mesh repair, pleurodesis and hormonal therapy. Eighteen months does not exclude later recurrence, and histopathological confirmation requires full-text review. It cannot define routine treatment.
Verify the original sources
PneumologieRead the original article↗DOI: 10.1055/a-2882-7406