A Case of Pulmonary Endometriosis Resected by Video-Assisted Thoracoscopic Surgery

Hyoung Suk Ham, Man Pyo Chung, Byung-Wook Lee, Kyung Hoon Han, Hojoong Kim, Joungho Han, Yong Mog Shim, O Jung Kwon
In: Tuberculosis and Respiratory Diseases · 2004 · vol. 56(5) , pp. 542 · doi:10.4046/trd.2004.56.5.542 · W2293818822
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-07 ⓘ

This paper reports a successful case of pulmonary endometriosis, presenting as catamenial hemoptysis, treated with minimally invasive video-assisted thoracoscopic surgery.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This paper reports a single case of pulmonary endometriosis in a 25-year-old woman with catamenial hemoptysis who underwent video-assisted thoracoscopic surgery (VATS) after non-surgical management was considered a first option. Using chest CT findings that suggested pulmonary involvement without other abnormalities, intraoperative decisions and histopathology showed intrapulmonary and bronchioalveolar endometriosis-type changes, leading to successful resection. The authors note that surgical removal via VATS is more invasive than hormonal therapy and that the evidence is limited because this is a case report rather than a controlled comparison, so conclusions about optimal treatment are restricted. This paper is centrally about endometriosis — it specifically describes pulmonary endometriosis and its resection by VATS.

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Abstract

Catamenial hemoptysis is a rare condition caused by thoracic endometriosis that presents as tracheobronchial or pulmonary endometriosis. While hormonal treatment may cause virilization and sterility, due to the antiestrogenic effect, its surgical removal via thoracotomy is a particularly invasive procedure and is not recommended as the first choice treatment in young woman. Successful surgical removal by video-assisted thoracoscopic surgery (VATS) has recently been reported, and may be indicated for young patients who at some stage would like to become pregnant.
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