Computed Tomography Findings of Pathologically Confirmed Pulmonary Parenchymal Endometriosis

Soo Yoon Chung, Sang Jin Kim, Tae Hoon Kim, Won Gee Ryu, Sang Jun Park, Deuk Yong Lee, Doo Yun Lee, Hyo Chae Paik, Hyung Joong Kim, Sang Ho Cho, Sang-Ho Cho, Bohyun Kim, Jai Keun Kim, Kyung Joo Park, Young Hoon Ryu
Journal of computer assisted tomography · 2005 · vol. 29(6) , pp. 815–818 · doi:10.1097/01.rct.0000176014.37051.c7 · PMID:16272857 · W2058570492
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Computed tomography during and after menstruation helped localize pulmonary endometriosis by revealing consolidation and ground-glass opacities that correlated with bronchoscopic and histopathologic findings.

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Abstract

OBJECTIVE: To evaluate the usefulness of computed tomography (CT) in the localization of parenchymal pulmonary endometriosis and to correlate the CT findings with fiberoptic bronchoscopic and pathologic findings. METHODS: A prospective study of 5 patients presenting with catamenial hemoptysis was conducted. The CT scans and fiberoptic bronchoscopy were performed twice during and 2 weeks after menstruation. After the localization of the presumed bleeding focus, surgical resection was performed. RESULTS: The CT scans obtained during menstruation revealed a well-demarcated area of consolidation (n = 4) and ground-glass opacity (n = 5), whereas CT scans obtained after menstruation demonstrated ground-glass opacity (n = 4) or complete resolution of the previously noted lesion (n = 1). Fiberoptic bronchoscopy exhibited trails of blood clot at the orifice of the involved bronchi unilaterally (n = 4) or a thin bloody secretion in the bronchi bilaterally. Histopathologic examination of the resected specimens showed typical findings of pulmonary endometriosis. CONCLUSION: Computed tomography scans during and after menstruation were useful for the precise preoperative localization of parenchymal pulmonary endometriosis.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Lung Lung Lung Diseases Tomography, X-Ray Computed Adult Bronchoscopy Bronchoscopy Diagnosis, Differential Endometriosis Endometriosis Endometriosis Female Fiber Optic Technology Fiber Optic Technology Hemoptysis Hemoptysis Humans Lung Lung

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