Catamenial pneumothorax due to bilateral pulmonary endometriosis

Fang HY, Hsin-Yuan Fang, Hsin‐Yuan Fang, Chia‐Ing Jan, Jan CI, Chia-Ing Jan, Chen CK, Chien-Kuang Chen, Chien‐Kuang Chen, Chen WT, William Tzu-Liang Chen, William Tzu‐Liang Chen
Respiratory care · 2012 · vol. 57(7) , pp. 1182–1185 · doi:10.4187/respcare.01256 · PMID:22273501 · W2133161679
Case report OA: closed CC0 ⤵ 13 in-corpus citations
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This case report describes a 45-year-old woman with recurrent pneumothorax and hemoptysis due to bilateral pulmonary endometriosis, confirmed by nodule biopsy and resection.

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Abstract

Co-existence of catamenial pneumothorax and hemoptysis is rare. We present a case of catamenial pneumothorax due to bilateral pulmonary endometriosis in a 45-year-old woman. The patient presented with a 3-year history of intermittent productive cough with blood-tinged sputum, chronic anemia, loss of appetite, and general weakness associated with menstruation. Three years prior to this presentation the patient had undergone a sigmoidectomy as treatment for endometriosis of the sigmoid colon with bleeding. Chest radiographs and computed tomography (CT) scan revealed multiple nodules in both lung parenchyma and recurrent pneumothorax. CT-guided biopsy revealed chronic inflammation of those pulmonary nodules, and laboratory studies disclosed elevated serum levels of carbohydrate antigen 19-9 (CA 19-9) and CA 125. Thoracoscopic wedge resection of the pulmonary nodules was performed, and histopathological examination of the resected nodules revealed endometriosis. At one-year follow-up there was no evidence of recurrence of gastrointestinal bleeding or pneumothorax.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Lung Diseases Pneumothorax CA-125 Antigen CA-125 Antigen CA-125 Antigen CA-19-9 Antigen CA-19-9 Antigen CA-19-9 Antigen Colonic Diseases Colonic Diseases Colonic Diseases Colonic Diseases Endometriosis Endometriosis Endometriosis Female Female Gastrointestinal Hemorrhage Gastrointestinal Hemorrhage

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 (13)

Cited by (13)

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License: CC0 · commercial use OK