A Woman with Recurrent Hemoptysis, a Rare Etiology

Jitruckthai P, Pasakorn Jitruckthai
Journal of the Medical Association of Thailand = Chotmaihet thangphaet · 2015 · vol. 98(6) , pp. 616–20 · PMID:26219167 · W2198676206
Case report OA: closed CC0 ⤵ 1 in-corpus citation
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This case describes a 32-year-old woman with recurrent hemoptysis during menses diagnosed with bronchopulmonary endometriosis based on imaging, bronchoscopy, cytology, and response to hormonal therapy.

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Abstract

Bronchopulmonary endometriosis is a rare clinical entity of thoracic endometriosis syndrome (TES). The diagnosis is often delayed because of high index of clinical suspicion is needed. We submit a case of 32-year-old healthy woman presenting with recurrent non-massive hemoptysis with the onset of menses for six months. Computed tomography scans of the chest revealed ill-defined ground glass opacity in superior segment of right lower lobe. Fiberoptic bronchoscopy was performed during the menstruation showed diffuse erythema along distal trachea through lobar bronchus. These findings disappeared when repeated at the end of menstrual cycle. Cytologic findings of bronchial wash suggested the evidence of old hemorrhage and the endometrial cells. After treatment with depot medroxyprogesterone acetate, hemoptysis did not occur for 12 months of follow-up. Based on clinical features and response to treatment, bronchopulmonay endometriosis was diagnosed.

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Condition tags

endometriosisthoracic_endometriosis

MeSH descriptors

Endometriosis Hemoptysis Lung Adult Adult Bronchi Bronchi Bronchi Bronchoscopy Bronchoscopy Bronchoscopy Endometriosis Endometriosis Endometriosis Female Female Follow-Up Studies Follow-Up Studies Hemoptysis Hemoptysis

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (10)

Cited by (1)

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