Video-assisted thoracoscopic surgery for catamenial hemoptysis: the rationale of preoperative computed tomography-guided hook-wire localization

Yin-Kai Chao, Chao YK, Po-Jen Ko, Ko PJ, Yeow KM, Kee-Min Yeow, Liu YH, Yun-Hen Liu
Surgical laparoscopy, endoscopy & percutaneous techniques · 2006 · doi:10.1097/01.sle.0000213729.57462.c7 · PMID:17277664
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Video-assisted thoracoscopic surgery following CT-guided hook-wire localization successfully treated a case of pulmonary endometriosis causing catamenial hemoptysis.

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This case report describes the successful management of catamenial hemoptysis, a rare condition characterized by menstrual-related coughing up of blood. The authors utilized preoperative computed tomography-guided hook-wire localization to identify and treat a deep and variable focus of pulmonary endometriosis via video-assisted thoracoscopic surgery. They argue that because the disease is benign and curable, surgeons should adopt a more aggressive surgical approach rather than relying solely on hormone ablation therapy, which carries significant side effects. Relevance to endometriosis: This paper is centrally about endometriosis, specifically addressing thoracic or pulmonary endometriosis as the underlying cause of catamenial hemoptysis.

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Abstract

Catamenial hemoptysis is a rare disease. Hormone ablation therapy is the treatment of choice with multiple side effects. We report a case of pulmonary endometriosis with deep and changeable focus. Successful treatment was obtained with the combine use of computed tomography-guided hook-wire localization and video-assisted thoracoscopic surgery. Owing to benign and curable in nature, we suggest a more aggressive attitude toward this disease before proceeding to hormone ablation therapy. The role of preoperative localization in the management of such disease was also discussed.
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Case Reports Video-assisted Thoracoscopic Surgery for Catamenial Hemoptysis: the Rationale of Preoperative Computed Tomography-guided Hook-wire Localization - Yin-Kai Chao - Po-Jen Ko - Kee-Min Yeow - Yun-Hen Liu Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 16(6):p 437-438, December 2006. | DOI: 10.1097/01.sle.0000213729.57462.c7 Catamenial hemoptysis is a rare disease. Hormone ablation therapy is the treatment of choice with multiple side effects. We report a case of pulmonary endometriosis with deep and changeable focus. Successful treatment was obtained with the combine use of computed tomography-guided hook-wire localization and video-assisted thoracoscopic surgery. Owing to benign and curable in nature, we suggest a more aggressive attitude toward this disease before proceeding to hormone ablation therapy. The role of preoperative localization in the management of such disease was also discussed. Copyright © 2006 Lippincott Williams & Wilkins, Inc.

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Condition tags

endometriosis

MeSH descriptors

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

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