A Case of Catamenial Hemoptysis Treated successfully with Gonadotropin-releasing Hormone (GnRH) Analogue

Dae-Han Kim, Yo-Ahn Suh, Sang-Il Kim, Kui Sung Choi, Hyun-Bae Son, Yoong Ju Kwon, Sung Ho Kim, Cheol Hyeon Kim, Jae Cheol Lee
In: Tuberculosis and Respiratory Diseases · 2002 · vol. 53(3) , pp. 349 · doi:10.4046/trd.2002.53.3.349 · W2310226501
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A 33-year-old woman with prior pelvic endometriosis experienced successful treatment of catamenial hemoptysis, diagnosed as pulmonary endometriosis via radiologic changes, using a GnRH analogue without recurrence.

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This case report describes a 33-year-old woman with a prior pathological diagnosis of pelvic endometriosis who presented with catamenial hemoptysis, or cyclic lung bleeding synchronized with her menstrual cycle. The clinicians confirmed the diagnosis of pulmonary endometriosis by correlating her clinical history with serial computed tomography scans that showed characteristic changes in chest lesions during menstruation versus intermenstrual periods. Treatment involved administration of a gonadotropin-releasing hormone analogue, which successfully resolved the hemoptysis with no evidence of recurrence reported. This paper is centrally about endometriosis — specifically thoracic manifestations known as pulmonary endometriosis causing catamenial hemoptysis.

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Abstract

Catamenial hemoptysis is syndrome characterized by bleeding from the bronchial trees and lungs that occurs synchronously with the female menstrual cycle. Etiologic mechanism of pulmonary endometriosis is still controversial, and the diagnosis is usually made on the basis of the clinical history and exclusion of other causes of recurrent hemoptysis. Serial computed tomograms of the chest during and in the interval between menstruations have been proved to be a useful confirmatory test. We experienced a 33-year-old female patient who had been previously diagnosed as pelvic endometriosis pathologically, experienced cyclic hemoptysis during menstruations. The diagnosis of pulmonary endometriosis was made based on her history and changes in the character of the lesions as documented on radiologic studies of the chest. She was treated successfully with GnRH analogue and there is no evidence of recurrence.
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Abstract Catamenial hemoptysis is syndrome characterized by bleeding from the bronchial trees and lungs that occurs synchronously with the female menstrual cycle. Etiologic mechanism of pulmonary endometriosis is still controversial, and the diagnosis is usually made on the basis of the clinical history and exclusion of other causes of recurrent hemoptysis. Serial computed tomograms of the chest during and in the interval between menstruations have been proved to be a useful confirmatory test. We experienced a 33-year-old female patient who had been previously diagnosed as pelvic endometriosis pathologically, experienced cyclic hemoptysis during menstruations. The diagnosis of pulmonary endometriosis was made based on her history and changes in the character of the lesions as documented on radiologic studies of the chest. She was treated successfully with GnRH analogue and there is no evidence of recurrence.

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