Catamenial Hemoptysis Treated by Video-assisted Thoracoscopic Surgery

Catamenial hemoptysis is a rare condition that’s characterized by recurrent hemoptysis occurring in association with menstruation, and this is associated with the presence of intrapulmonary or endobronchial endometrial tissue. The diagnosis of pulmonary endometriosis can be made according to a typical clinical history and with exclusion of other causes of recurrent hemoptysis. Treatment of pulmonary endometriosis can be medical or surgical; however, the optimal management of this condition is still a matter of debate. Medical therapy may be problematic, due to recurrence of symptoms despite hormonal ablation, and adverse effects from long-term hormone therapy can also be a problem. We report here on a case of pulmonary endometriosis in a 23-year-old woman who presented with hemoptysis that occurred during the first 3 days of menstruation, and this happened over a 4 month period. She was successfully treated by video-assisted thoracoscopic surgery (VATS). No more hemoptysis was noted during 12 months of follow-up.

keywords: Catamenial hemoptysis, Pulmonary endometriosis, Video-assisted thoracoscopic surgery (VATS)

Reference

1.Joseph J, Sahn SA. Thoracic endometriosis syndrome: new observations from an analysis of 110 cases. Am J Med 1996;100:164-70.

2.Wood DJ, Krishnan K, Stocks P. Catamenial hemoptysis: a rare cause. Thorax 1993;48:1048-9.

3.Park WW. Experimental trophoblastic embolism of the lungs. J Pathol Bacteriol 1958;75:257-65.

4.Chung SY, Kim SJ, Kim TH, Ryu WG, Park SJ, Lee DY, et al. Computed tomography findings of pathologically confirmed pulmonary parenchymal endometriosis. J Comput Assist Tomogr 2005;29:815-8.

5.Cassina PC, Hauser M, Kacl G, Imthurn B, Schroder S, Weder W. Catamenial hemoptysis. Diagnosis with MRI. Chest 1997;111:1447-50.

6.Kuo PH, Wang HC, Liaw YS, Kuo SH. Bronchoscopic and angiographic findings in tracheobronchial endometriosis. Thorax 1996;51:1060-1.

7.Katoh O, Yamada H, Aoki Y, Matsumoto S, Kudo S. Utility of angiograms in patients with catamenial hemoptysis. Chest 1990;98:1296-7.

8.Kim JH, Joo YT, Ahn OJ, Jeon SW, Moon Y, Choi JY, et al. A case of catamenial hemoptysis. Korean J Obset Gynecol 2005;48:500-4.

9.Kim DH, Suh YA, Kim SI, Choi KS, Son HB, Lee JC, et al. A Case of catamenial hemoptysis treated successfully with gonadotropin-releasing hormone (GnRH) analogue. Tuberc Respir Dis 2002;53:349-53.

10.

10.Ham SH, Chung MP, Lee BW, Han KH, Kim HJ, Kwon OJ, et al. A case of pulmonary endometriosis resected by video-assisted thoracoscopic surgery. Tuberc Respir Dis 2004;56:542-9.

11.

11.Cho SJ, Ryu SM, Kim WJ, Lee SJ, Kim YS. Video-assisted thoracic surgery for pulmonay endometriosis: report of 1 case. Tuberc Respir Dis 2006;60:576-80.

12.

12.Park SM, Shin EJ, Kang KM, Kim MK, Cho DG, Kim CH. A case of pulmonary endometriosis treated by resection. Tuberc Respir Dis 2006;61:394-7.

13.

13.Park YB, Heo GM, Moon HK, Cho SJ, Shin YC, Eom KS, et al. Pulmonary endometriosis resected by video-assisted thoracoscopic surgery. Respirology 2006;11: 221-3.

14.

14.Puma F, Carloni A, Casucci G, Puligheddu C, Urbani M, Porcaro G. Successful endoscopic Nd-YAG laser treatment of endobronchial endometriosis. Chest 2003; 124:1168-70.

15.

15.Ozvaran MK, Baran R, Sogukpmar O, Uzman O, Sahin K, Kocadelioglu I, et al. Histopathological diagnosis of endobronchial endometriosis treated with argon laser. Respirology 2006;11:348-50.

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Article Contents

Vol.65 No.1

Catamenial Hemoptysis Treated by Video-assisted Thoracoscopic Surgery

Abstract

Reference

Tuberculosis & Respiratory Diseases