Catamenial hemoptysis and pulmonary endometriosis: a case report.
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This case report describes a 32-year-old woman with catamenial hemoptysis, diagnosed presumptively as pulmonary endometriosis and treated successfully with oral contraceptives.
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Abstract
Hemoptysis can be caused by a variety of pulmonary diseases, including parasitic infections, tuberculosis, chronic bronchitis and malignancies. Rarely, pulmonary endometriosis can present with hemoptysis and pose a diagnostic problem to clinicians. Pulmonary endometriosis can easily be confused with other clinical entities, including pulmonary embolism, pneumonia and pneumothorax. Histopathologic confirmation is difficult, since the bleeding site is not easy to locate. However, a presumptive diagnosis of pulmonary endometriosis can be made with a typical clinical history. Even so, medical therapy may be problematic, with recurrence of symptoms despite hormonal ablation. We report a case of presumptive pulmonary endometriosis in a 32- year-old woman with a history of an induced abortion, who presented with catamenial hemoptysis (approximately one tablespoon per episode) occurring in the first 3 days of menstruation over an 11-month period. She was treated with an oral contraceptive for two months. No recurrence of hemoptysis was noted during 18 months of follow-up. The approach to diagnosis and treatment of pulmonary endometriosis is reviewed.
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Cited by (18)
- Endométriose extra-génitale : atteinte pariétales, thoraciques, diaphragmatiques et nerveuses. RPC Endométriose CNGOF-HAS 2018
- Catamenial pneumothorax 2015
- A Woman with Recurrent Hemoptysis, a Rare Etiology. 2015
- Catamenial Haemothorax Masquerading Pulmonary Tuberculosis? A Case Report of a 28 Year Old Woman who Presented with Recurrent Haemothorax and Empyema Thoracis 2015
- Aromatase inhibitor (anastrozole) affects growth of endometrioma cells in culture 2015
- Imaging Findings and Management Strategies in Pleural Endometriosis 2012
- Recurrent Chest Pain, as a Presenting Sign of Ovarian Endometrioma 2011
- Thoracic Endometriosis 2010
- Catamenial Hemoptysis: A Nationwide Analysis in Korea 2009
- Endometriose torácica 2008
- Endometriose torácica 2008
- Thoracic Endometriosis Syndrome 2007
- Asymmetry in distribution of diaphragmatic endometriotic lesions: evidence in favour of the menstrual reflux theory 2007
- Neumotórax catamenial. Hallazgos radiológicos 2007
- Catamenial hemoptysis from endobronchial endometriosis in a child with type 1 von Willebrand disease 2007
- Successful Video-Assisted Thoracic Surgery for Pulmonary Endometriosis: Report of a Case 2007
- Thoracic Endometriosis: Current Knowledge 2006
- Treatment of endometriotic catamenial haemoptysis with etonogestrel subdermal implant 2004
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