Tuberc Respir Dis > Volume 44(1); 1997 > Article
Tuberculosis and Respiratory Diseases 1997;44(1):197-202.
DOI:    Published online February 1, 1997.
Catamenial Hemoptysis Caused by the Endometriosis of the Lung Parenchyme, Treated with Bisegmental Wedge Resection.
Sun Min Lee, Sung Chul Chung, Sang Don Kim, Kyung Ai Ma, Young Joon Kim, Young Goo Song, Sung Chul Hwang, Yi Hyung Lee, Han Young Ryu, Chul Joo Lee, Kyoung Joo Park, Jung Sun Kim, Myoung Ho Han
1Department of Pulmonology and Critical Care Medicine, Ajou University School of Medicine, Suwon, Koera.
2Department of Cardiovascular Surgery, Ajou University School of Medicine, Suwon, Koera.
3Department of Radiology, Ajou University School of Medicine, Suwon, Koera.
4Department of Pathology, Ajou University School of Medicine, Suwon, Koera.
Catamenial hemoptysis is a term used to describe recurrent hemoptysis occuring at the time of menstruation and is caused by the presence of thoracic endometriosis. The diagnosis is almost always established on the clinical grounds and by exclusion of other causes of recurrent hemoptysis. The pathogenesis of the thoracic endometriosis is not clear but several hypothesis have been proposed, such as retrograde flow of the endometrial tissue through the diaphragmatic defects, microembolization through pelvic veins and differenciation into endometrial tissues. We report a case of a 35-year-old woman who presented with catamenial hemoptysis caused by the endometriosis of lung parenchyme. The lesion was localized to the right upper lobe posterior segment and right lower lobe superior segment by the computerized tomogram of the chest during the time of mensturation and treated effectively with bisegmental wedge resection.

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