Catamenial Hemoptysis Treated by Video-assisted Thoracoscopic Surgery.

Cho, Chang Beom; Kim, Dong Gyu; Kim, Changhwan; Park, Ji Young; Lee, Seok Won; Jang, Seung Hun; Jung, Ki Suck; Jun, Sun Young; Lee, Jae Woong

doi:2008.65.1.29

Tuberc Respir Dis > Volume 65(1); 2008 > Article

Case Report

Tuberculosis and Respiratory Diseases 2008;65(1):29-33.
DOI: https://doi.org/10.4046/trd.2008.65.1.29 Published online July 1, 2008.

Catamenial Hemoptysis Treated by Video-assisted Thoracoscopic Surgery.

Chang Beom Cho, Dong Gyu Kim, Changhwan Kim, Ji Young Park, Seok Won Lee, Seung Hun Jang, Ki Suck Jung, Sun Young Jun, Jae Woong Lee

¹Department of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea. dongyu@hallym.ac.kr
²Department of Pathology, Hallym University College of Medicine, Chuncheon, Korea.
³Department of Thoracic and Cardiovascular Surgery, Hallym University College of Medicine, Chuncheon, Korea.

Abstract

Catamenial hemoptysis is a rare condition that's characterized by recurrent hemoptysis occurring in association with menstruation, and this is associated with the presence of intrapulmonary or endobronchial endometrial tissue. The diagnosis of pulmonary endometriosis can be made according to a typical clinical history and with exclusion of other causes of recurrent hemoptysis. Treatment of pulmonary endometriosis can be medical or surgical; however, the optimal management of this condition is still a matter of debate. Medical therapy may be problematic, due to recurrence of symptoms despite hormonal ablation, and adverse effects from long-term hormone therapy can also be a problem. We report here on a case of pulmonary endometriosis in a 23-year-old woman who presented with hemoptysis that occurred during the first 3 days of menstruation, and this happened over a 4 month period. She was successfully treated by video-assisted thoracoscopic surgery (VATS). No more hemoptysis was noted during 12 months of follow-up.

Key Words: Catamenial hemoptysis, Pulmonary endometriosis, Video-assisted thoracoscopic surgery (VATS)