A 46-year-old woman experienced an initial episode of right-sided spontaneous pneumothorax at the time of menstruation. The findings of thoracoscopic examination suggested catamenial pneumothorax. Thoracoscopic surgery revealed multiple blueberry spots on the diaphragm. Considering the patient to be premenopausal within several years and expecting postoperative hormonal therapy, we stitched all lesions without resection for detailed histopathological diagnosis. The patient is well 5 months postoperatively.
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