Tuberc Respir Dis.  2006 May;60(5):576-580.

Video-Assisted Thoracic Surgery for Pulmonary Endometriosis: Report of 1 Case

• Cho SJ
• Rhyu SM
• Kim WJ
• Lee SJ
• Kim YS

Abstract

Pulmonary endometriosis is an uncommon disease, and usually detected by catamenial hemoptysis. Treatment of pulmonary endometriosis may be medical(hormone therapy) or surgical. Since hormone therapy may cause sterility, most of patients who wish to conceive usually choose surgical resection. Although video-assisted thoracic surgery(VATS) has advantage of small scar, reducing postoperative pain and shortening hospital stay, it is not easy to locate the precise lesion and resect whole endometrial tissue not to be remained. 17 years old female with catamenial hemoptysis was treated sucessfully with a partial resection of the lung using VATS, and has been asymptomatic for 7months since the operation.

Keyword

Pulmonary endometriosis; Catamenial pneumothorax; Video-assisted thoracic surgery(VATS)

MeSH Terms

Adolescent
Cicatrix
Endometriosis*
Female
Hemoptysis
Humans
Infertility
Length of Stay
Lung
Pain, Postoperative
Thoracic Surgery, Video-Assisted*

Figure

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  Figure 1 A. Preoperative chest PA shows no active lesion. B. Chest CT scan obtained during the patient's menstrual period shows GGO(ground glass opacity) at the latero-basal segment of right lower lobe. C. But the previous GGO is disappeared on the repeated CT scan during the intermenstrual period.

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  Figure 2 Bleeding was seen from entry of the latero-basal segmental bronchus, right lower lobe during the menstrual period of the patient.

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  Figure 3 Yellow-brown colored lesions were seen on the lateral surface of the lower lung, and also was dark-red colored hemorrhagic area around the lesion.

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  Figure 4 Histologic section shows intraalveolar hemorrhage and aggregates of hemosiderin-laden macrophage(H&E, ×16 and ×200)

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