Resection of pulmonary endometriosis using video-assisted thoracoscopic surgery under preoperative CT-guided marking

Kenta Furuya, Furuya K, Hajime Otsuka, Otsuka H, Koezuka S, Satoshi Koezuka, Takashi Makino, Makino T, Yoshinobu Hata, Hata Y, Megumi Wakayama, Wakayama M, Kazutoshi Shibuya, Shibuya K, Iyoda A, Akira Iyoda
General thoracic and cardiovascular surgery · 2015 · vol. 65(3) , pp. 175–178 · doi:10.1007/s11748-015-0607-y · PMID:26589952 · W2173385598
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⚙ AI-generated summary by gemini-2.5-flash-lite+body, 2026-06-08 ⓘ

This case report describes the successful treatment of a patient with pulmonary endometriosis and catamenial hemoptysis via wedge resection using video-assisted thoracoscopic surgery.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 · read from full text ⓘ

This paper reports a 22-year-old patient with pulmonary endometriosis presenting with catamenial hemoptysis, in whom the diagnosis was confirmed histologically. The authors describe successful treatment via wedge resection using video-assisted thoracoscopic surgery, aided by preoperative CT-guided marking to localize the lesion. The main limitation is that this is a single-patient case report, so findings may not generalize beyond this individual presentation. This paper is centrally about endometriosis — it focuses on surgical resection of pulmonary endometriosis using video-assisted thoracoscopic surgery under CT-guided marking, with no separate adenomyosis discussion.

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Abstract

Pulmonary endometriosis is a gynecological disorder in which endometrial tissue grows outside of the uterine cavity. Usually, the ectopic implants are located in the pelvis and manifest as dysmenorrhea, chronic pelvic pain, or infertility. Pulmonary endometriosis sometimes occurs in the pleurae and can result in catamenial pneumothorax; however, true pulmonary endometriosis, tissue growing in the lung itself, is rare. We report a 22-year-old patient with pulmonary endometriosis and catamenial hemoptysis. Pulmonary endometriosis was proved histologically and treated successfully by wedge resection using video-assisted thoracoscopic surgery.
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Abstract

Pulmonary endometriosis is a gynecological disorder in which endometrial tissue grows outside of the uterine cavity. Usually, the ectopic implants are located in the pelvis and manifest as dysmenorrhea, chronic pelvic pain, or infertility. Pulmonary endometriosis sometimes occurs in the pleurae and can result in catamenial pneumothorax; however, true pulmonary endometriosis, tissue growing in the lung itself, is rare. We report a 22-year-old patient with pulmonary endometriosis and catamenial hemoptysis. Pulmonary endometriosis was proved histologically and treated successfully by wedge resection using video-assisted thoracoscopic surgery. Similar content being viewed by others

References

Channabasavaiah AD, Joseph JV. Thoracic endometriosis: revisiting the association between clinical presentation and thoracic pathology based on thoracoscopic findings in 110 patients. Medicine (Baltimore). 2010;89:183–8. Huang H, Li C, Zarogoulidis P, Darwiche K, Machairiotis N, Yang L, et al. Endometriosis of the lung: report of a case and literature review. Eur J Med Res. 2013;18:13. 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. Flieder DB, Moran CA, Travis WD, Koss MN, Mark EJ. Pleuro-pulmonary endometriosis and pulmonary ectopic deciduosis: a clinicopathological and immunohistochemical study of 10 cases with emphasis on diagnostic pitfalls. Hum Pathol. 1998;29:1495–503. Joseph J, Sahn S. Thoracic endometriosis syndrome: new observations from an analysis of 110 cases. Am J Med. 1996;100:164–70. Foster DC, Stern JL, Buscema J, Rock JA, Woodruff JD. Pleural and parenchymal pulmonary endometriosis. Obstet Gynecol. 1981;58:552–6. Haruki T, Fujioka S, Adachi Y, Miwa K, Taniguchi Y, Nakamura H. Successful video-assisted thoracic surgery for pulmonary endometriosis: report of a case. Surg Today. 2007;37:141–4. Bagan P, Le Pimpec Barthes F, Assouad J, Souilamas R, Riquet M. Catamenial pneumothorax: retrospective study of surgical treatment. Ann Thorac Surg. 2003;75:378–81. Scarfone G, Bergamini A, Noli S, Villa A, Cipriani S, Taccagni G, et al. Characteristics of clear cell ovarian cancer arising from endometriosis: a two center cohort study. Gynecol Oncol. 2014;133:480–4. Ciriaco P, Negri G, Puglisi A, Nicoletti R, Del Maschio A, Zannini P. Video-assisted thoracoscopic surgery for pulmonary nodules: rationale for preoperative computed tomography-guided hookwire localization. Eur J Cardiothorac Surg. 2004;25:429–33. Chao YK, Ko PJ, Yeow KM, Liu YH. Video-assisted thoracoscopic surgery for catamenial hemoptysis: the rationale of preoperative computed tomography-guided hook-wire localization. Surg Laparosc Endosc Percutan Tech. 2006;16:437–8. Author information Authors and Affiliations Corresponding author Ethics declarations Conflict of interest The authors declare that no conflicts of interest exist. Rights and permissions About this article Cite this article Furuya, K., Otsuka, H., Koezuka, S. et al. Resection of pulmonary endometriosis using video-assisted thoracoscopic surgery under preoperative CT-guided marking. Gen Thorac Cardiovasc Surg 65, 175–178 (2017). https://doi.org/10.1007/s11748-015-0607-y Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s11748-015-0607-y

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Lung Diseases Surgery, Computer-Assisted Thoracic Surgery, Video-Assisted Endometriosis Endometriosis Female Humans Lung Diseases Lung Diseases Pneumonectomy Surgery, Computer-Assisted Thoracic Surgery, Video-Assisted Tomography, X-Ray Computed Young Adult

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