Tuberc Respir Dis.  2006 Oct;61(4):394-397.

A Case of Pulmonary Endometriosis Treated by Resection

• Park SM
• Shin EJ
• Kang KM
• Kim MK
• Cho DG
• Song SH
• Kim CH

Abstract

Periodic hemoptysis occurring at the time of menstruation (catamenial hemoptysis) is a rare disorder and generally signifies indicates the presence of thoracic endometriosis. A diagnosis of catamenial hemoptysis is usually established based on the clinical history and the exlusion of other causes of the recurrent hemoptysis. Serial computed tomograms of the chest during and in the interval between menstruations periods is a useful confirmatory test. We report the case of a 22 year-old women who suffered from catamenial hemoptysis for 10 months and was treated successfully with a wedge resection of the lesion by video-assisted thoracoscopic surgery(VATS). There was no evidence of recurrence. In conclusion. VATS is a good choice as a for single focus for catamenial hemoptysis.

Keyword

Hemoptysis; Mnestruation; Video assisted thoarcoscopic surgery(VATS)

MeSH Terms

Diagnosis
Endometriosis*
Female
Hemoptysis
Humans
Menstruation
Recurrence
Thoracic Surgery, Video-Assisted
Thorax
Young Adult

Figure

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  Figure 1 Chest PA showed no definite abnormal finding.

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  Figure 2 (A) Chest CT scan during hemoptysis. Focal focal ground glass opacity was noted in the posterior basal segment of RLL. (B) Chest CT scan without catamenial hemoptysis. Focal ground glass opacity was decreased when the patient dose not complain of hemoptysis.

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  Figure 3 (A)(B) Thoracoscopic examination showed the lesions of recurrent bleeding area that were one large dark reddish lesion and nearby three smaller lesions in the posterior basal segment of RLL.

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  Figure 4 Microscopic section of a lesion in the resected lung showed marked hemorrhagic necrosis, bleeding and many hemosiderin-laden macrophages in alveolar space and parenchyma of lung (Hematoxylin-eosin stain, original ×100).

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