Successful treatment of catamenial hemoptysis by video-assisted thoracoscopic surgery

Choi SY, Si Young Choi, Chi Kyung Kim, Kim CK, Chan Beom Park, Park CB
The Thoracic and cardiovascular surgeon · 2013 · doi:10.1055/s-0032-1330227 · PMID:23307274
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-08-09 ⓘ

This case report details the successful surgical treatment of catamenial hemoptysis in a 23-year-old woman via video-assisted thoracoscopic wedge resection, with no recurrence observed for five years.

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⚙ AI-generated deep summary by qwen3.7-flash, 2026-08-15 · read from full text ⓘ

This case report describes the successful management of a 23-year-old woman suffering from recurrent hemoptysis that occurred exclusively during her menstrual periods. The diagnosis of catamenial hemoptysis was established through chest computed tomography and bronchoscopic examinations performed while the patient was menstruating. Following these diagnostic procedures, the patient underwent wedge resection via video-assisted thoracoscopic surgery, which resulted in the complete resolution of symptoms with no recurrence observed over a five-year follow-up period. This paper is centrally about endometriosis — specifically thoracic endometriosis syndrome manifesting as catamenial hemoptysis, where ectopic endometrial tissue in the lungs causes bleeding synchronized with menses.

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Abstract

We report a case of a 23-year-old woman with a 5-year history of recurrent hemoptysis during menstrual period. Catamenial hemoptysis was diagnosed using chest computed tomography and bronchoscopic examination during menstruation. The patient was managed successfully with wedge resection and has been free of recurrence for 5 years. We suggest that surgery is an effective treatment, and complete resection with accurate localization is important for the prevention of recurrence.
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Abstract

We report a case of a 23-year-old woman with a 5-year history of recurrent hemoptysis during menstrual period. Catamenial hemoptysis was diagnosed using chest computed tomography and bronchoscopic examination during menstruation. The patient was managed successfully with wedge resection and has been free of recurrence for 5 years. We suggest that surgery is an effective treatment, and complete resection with accurate localization is important for the prevention of recurrence. -

References

- 1 Joseph J, Sahn SA. Thoracic endometriosis syndrome: new observations from an analysis of 110 cases. Am J Med 1996; 100 (2) 164-170 - 2 Alifano M, Trisolini R, Cancellieri A, Regnard JF. Thoracic endometriosis: current knowledge. Ann Thorac Surg 2006; 81 (2) 761-769 - 3 Volkart JR. CT findings in pulmonary endometriosis. J Comput Assist Tomogr 1995; 19 (1) 156-157 - 4 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 (6) 437-438 - 5 Mattioli S, D'Ovidio F, Daddi N , et al. Transthoracic endosonography for the intraoperative localization of lung nodules. Ann Thorac Surg 2005; 79 (2) 443-449 , discussion 443–449 - 6 Ryu JS, Song ES, Lee KH, Cho JH, Kwak SM, Lee HL. Natural history and therapeutic implications of patients with catamenial hemoptysis. Respir Med 2007; 101 (5) 1032-1036 - 7 Kristianen K, Fjeld NB. Pulmonary endometriosis causing hemoptysis: report of a case treated with lobectomy. Scand J Thorac Cardiovasc Surg 1993; 27 (2) 113-115 - 8 Nakashima Y, Shoji F, Osoegawa A, Yoshino I, Maehara Y. Catamenial hemoptysis treated by video-assisted thoracic surgery: report of a case. Surg Today 2011; 41 (5) 701-703 - 9 Kim CJ, Nam HS, Lee CY , et al. Catamenial hemoptysis: a nationwide analysis in Korea. Respiration 2010; 79 (4) 296-301

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Condition tags

endometriosis

MeSH descriptors

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

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