{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T23:15:48Z","timestamp":1783379748012,"version":"3.54.6"},"reference-count":9,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pneumologie"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Catamenial pneumothorax is an uncommon manifestation of thoracic endometriosis syndrome, usually associated with small right-sided diaphragmatic fenestration. We report an extreme presentation in a woman in her late 40s who developed acute right-sided chest pain one day prior to menstruation. Initial imaging revealed a right pneumothorax, which resolved after intercostal drainage. However, subsequent computed tomography revealed a massive defect in the right hemidiaphragm with herniation of the entire right hepatic lobe, gallbladder, and upper pole of the right kidney into the thoracic cavity. A multidisciplinary surgical strategy was adopted, involving abdominal reduction of the herniated viscera, followed by video-assisted thoracoscopic mesh repair of the diaphragm and talc pleurodesis. Postoperative hormonal suppression was initiated. The patient remained asymptomatic without recurrence at 18 months. This case highlights that catamenial pneumothorax may represent advanced chronic diaphragmatic pathology, even at the first clinical presentation.<\/jats:p>","DOI":"10.1055\/a-2882-7406","type":"journal-article","created":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T22:56:53Z","timestamp":1783378613000},"source":"Crossref","is-referenced-by-count":0,"title":["Catamenial pneumothorax complicated by massive right diaphragmatic hernia with solid organ herniation"],"prefix":"10.1055","author":[{"given":"Supakorn","family":"Srihattapadungkit","sequence":"additional","affiliation":[{"name":"Huachiew Hospital, Thailand","place":["Bangkok"],"department":["Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Klein","family":"Dantis","sequence":"additional","affiliation":[{"name":"All India Institute of Medical Sciences Bathinda, India","place":["Bathinda"],"department":["CVTS"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jakraphan","family":"Yu","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Vajira Hospital, Thailand","place":["Bangkok"],"department":["Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sira","family":"Laohathai","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Vajira Hospital, Thailand","place":["Bangkok"],"department":["Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,7,6]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"2029","DOI":"10.3390\/medicina60122029","article-title":"Catamenial Pneumothorax-Still an Unveiled Disease","volume":"60","author":"I Damps-Konsta\u0144ska","year":"2024","journal-title":"Medicina (Kaunas)"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"e109","DOI":"10.1308\/rcsann.2021.0164","article-title":"Catamenial pneumothorax","volume":"104","author":"N Kardaman","year":"2022","journal-title":"Ann R Coll Surg Engl"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"717","DOI":"10.1007\/s00508-017-1237-4","article-title":"Catamenial pneumothorax since introduction of video-assisted thoracoscopic surgery: A systematic review","volume":"129","author":"K Bricelj","year":"2017","journal-title":"Wien Klin Wochenschr"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1186\/s13019-021-01407-z","article-title":"Catamenial pneumothorax with partial liver herniation due to diaphragmatic laceration: a case report and literature review","volume":"16","author":"S Arakawa","year":"2021","journal-title":"J Cardiothorac Surg"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"17","DOI":"10.3978\/j.issn.2072-1439.2012.s006","article-title":"Catamenial pneumothorax: a rare entity? Report of 5 cases and review of the literature","volume":"4","author":"AN Visouli","year":"2012","journal-title":"J Thorac Dis"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"717","DOI":"10.1007\/s00508-017-1237-4","article-title":"Catamenial pneumothorax since introduction of video-assisted thoracoscopic surgery: A systematic review","volume":"129","author":"K Bricelj","year":"2017","journal-title":"Wien Klin Wochenschr"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"547","DOI":"10.1308\/003588406X130732","article-title":"Catamenial pneumothorax: surgical repair of the diaphragm and hormone treatment","volume":"88","author":"AC Leong","year":"2006","journal-title":"Ann R Coll Surg Engl"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1510\/icvts.2008.190975","article-title":"Surgical treatment of catamenial pneumothorax: a single centre experience","volume":"8","author":"P Ciriaco","year":"2009","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"e245","DOI":"10.1016\/j.athoracsur.2020.06.137","article-title":"Nonintubated Video-assisted thoracoscopic surgery using local anesthesia for catamenial pneumothorax","volume":"111","author":"S Laohathai","year":"2021","journal-title":"Ann Thorac Surg"}],"container-title":["Pneumologie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2882-7406.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T22:56:54Z","timestamp":1783378614000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2882-7406"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,6]]},"references-count":9,"URL":"https:\/\/doi.org\/10.1055\/a-2882-7406","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0934-8387","1438-8790"],"issn-type":[{"value":"0934-8387","type":"print"},{"value":"1438-8790","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,6]]}}}