[Pulmonary endometriosis with recurrent catamenial hemoptysis].

H Ueno, Hiroaki Ueno, H Mukae, Hiroshi Mukae, Haruko Taniguchi, H Taniguchi, Hisako Maki, H Maki, J Ashitani, Jun-ichi Ashitani, Toshihiko Ihi, T Ihi, Akira Sakamoto, A Sakamoto, Shigeru Matsukura, S Matsukura
Nihon Kyobu Shikkan Gakkai zasshi · 1995 · vol. 33(8) , pp. 888–93 · PMID:7474572 · W24523817
article OA: closed CC0 ⤵ 1 in-corpus citation
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This case report describes a 32-year-old woman diagnosed with pulmonary endometriosis causing recurrent catamenial hemoptysis, which resolved after treatment with buserelin acetate.

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Abstract

A 32-year-old woman with a history of dilation and curettage for missed abortion at 31 years old had sudden hemoptysis during menstruation on May 25, 1993. She had catamenial hemoptysis again, and was admitted to our hospital on July 21, 1993. After admission, catamenial hemoptysis occurred, and a nodular shadow was noted in the right S4 area on chest roentgenogram and computed tomogram. A few days after menstruation, hemoptysis and the abnormal shadow on chest roentgenogram disappeared. Pulmonary endometriosis was diagnosed by clinical course, past history, and chest roentgenographic findings. During the next menstruation, hemoptysis and a nodular shadow in the right S4 area on chest roentgenogram recurred, so transbronchial lung biopsy and laparoscopy were done. TBLB specimens revealed macrophages with phagocytosed hemosiderin, and laparoscopy revealed pelvic endometriosis. She was treated with buserelin acetate. Catamenial hemoptysis and the nodular shadow on the chest roentgenogram disappeared after treatment.

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Endometriosis Hemoptysis Lung Diseases Menstrual Cycle Adult Buserelin Buserelin Endometriosis Female Hemoptysis Hemoptysis Humans Lung Diseases Recurrence

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