Catamenial haemoptysis: a rare cause.

Wood, David; Krishnan, K R; Stocks, Percy; Morgan, Evan; Ward, M.J.

doi:10.1136/thx.48.10.1048

Cited by 38 publications

(23 citation statements)

References 7 publications

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“…Histopathologic diagnosis has been obtained in only one third of the cases reported in the literature (fig. 1) [34, 35]. Pleural fluid cytologic examination is rarely helpful.…”

Section: Diagnosismentioning

confidence: 99%

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Thoracic Endometriosis Syndrome

Augoulea

Lambrinoudaki²,

Christodoulakos³

2007

Respiration

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Endometriosis is defined as the presence of endometrial glands and stroma outside the uterine cavity and is usually confined to the pelvis. Thoracic endometriosis syndrome (TES) is a rare disorder characterized by the presence of functioning endometrial tissue in the pleura, the lung parenchyma and the airways. TES may present with hemoptysis, due to the shedding of endometrial tissue in the bronchial tree, or spontaneous pneumothorax or hemothorax if the endometrial tissue is localized peripherally. Patients are of reproductive age, often nulliparous, with long-standing symptoms. The crucial issue for establishing the diagnosis is the cyclicity of the symptoms which occur along with the menstrual cycle. TES is virtually a diagnosis of exclusion, established on clinical grounds, since neither CT nor endoscopy are specific for TES. Treatment consists of gonadotropin-releasing hormone analogues, aiming to suppress the hypophyseal-gonadal axis, so as to ensure a regression of the endometrial implants. If medical treatment fails, surgical resection of the endometriomas is suggested, although relapse rate may be high.

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“…Histopathologic diagnosis has been obtained in only one third of the cases reported in the literature (fig. 1) [34, 35]. Pleural fluid cytologic examination is rarely helpful.…”

Section: Diagnosismentioning

confidence: 99%

“…Concluding, the main criterion for the diagnosis is the finding of periodic symptomatology that is synchronous with menstruation. Most of the reported cases were diagnosed on the basis of the patient’s clinical history, without a supportive histologic confirmation (table 3) [35]. …”

Section: Diagnosismentioning

confidence: 99%

Thoracic Endometriosis Syndrome

Augoulea

Lambrinoudaki²,

Christodoulakos³

2007

Respiration

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“…The incidence is almost doubled during pregnancy and is due to influence of hormonal changes (progesterone effect) on the endothelium of PAVM. PAVM should also be included as one of the other cause apart from endometriosis for catamanial haemoptysis/ haemothorax [12]. Without prompt diagnosis and treatment, it can lead to death.…”

Section: Discussionmentioning

confidence: 99%

Pulmonary arteriovenous malformation with spontaneous haemothorax

Raju

Sadhasivam

Padmanabhan

et al. 2011

Indian J Thorac Cardiovasc Surg

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Pulmonary arteriovenous malformation (PAVM) is a very rare congenital vascular abnormality of the lung. PAVM are usually asymptomatic in presentation. The occurrence of Pulmonary haemorrhage in patients with Pulmonary arteriovenous malformation is very rare. Pulmonary haemorrhage is a very lethal complication of Pulmonary arteriovenous malformation and it should be treated aggressively. Depending upon the location, either massive haemoptysis or haemothorax will occur. We report a case of 36 year old female who was evaluated for spontaneous massive haemothorax on the right side and detected to have large PAVM. She was successfully treated with right lower lobectomy.

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“…9,10 Only one-third of the reported cases had pathologic confirmation of endometrial tissue in lung parenchyma whereas others revealed hemorrhage only. 10 However, a high proportion of patients had clinical improvement after surgical resection discarded the negative pathology result. [5][6][7]9 We believe that complete resection of the involved parenchyma during surgery is crucial for better results.…”

Section: Discussionmentioning

confidence: 99%

Video-assisted Thoracoscopic Surgery for Catamenial Hemoptysis: the Rationale of Preoperative Computed Tomography-guided Hook-wire Localization

Chao¹,

Ko²,

Yeow

et al. 2006

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques

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Catamenial hemoptysis is a rare disease. Hormone ablation therapy is the treatment of choice with multiple side effects. We report a case of pulmonary endometriosis with deep and changeable focus. Successful treatment was obtained with the combine use of computed tomography-guided hook-wire localization and video-assisted thoracoscopic surgery. Owing to benign and curable in nature, we suggest a more aggressive attitude toward this disease before proceeding to hormone ablation therapy. The role of preoperative localization in the management of such disease was also discussed.

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Catamenial haemoptysis: a rare cause.

Cited by 38 publications

References 7 publications

Thoracic Endometriosis Syndrome

Thoracic Endometriosis Syndrome

Pulmonary arteriovenous malformation with spontaneous haemothorax

Video-assisted Thoracoscopic Surgery for Catamenial Hemoptysis: the Rationale of Preoperative Computed Tomography-guided Hook-wire Localization

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