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CC BY-NC-ND 4.0 · Rev Bras Ginecol Obstet 2018; 40(05): 300-303
DOI: 10.1055/s-0038-1646780
Case Report
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Hemoptysis and Endometriosis: An Unusual Association — Case Report and Review of the Literature

Hemoptise e endometriose: uma associação não usual — relato de caso e revisão da literatura
Joao Paulo Leonardo-Pinto
1   Universidade Estadual de Campinas, Campinas, SP, Brazil
,
Cristina Laguna Benetti-Pinto
1   Universidade Estadual de Campinas, Campinas, SP, Brazil
,
Iuri Quagliato
1   Universidade Estadual de Campinas, Campinas, SP, Brazil
,
Daniela Angerame Yela
1   Universidade Estadual de Campinas, Campinas, SP, Brazil
› Author Affiliations
Further Information

Publication History

27 October 2017

24 January 2018

Publication Date:
27 April 2018 (online)

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Abstract

Thoracic endometriosis syndrome is a rare condition that includes four entities: catamenial pneumothorax, catamenial hemothorax, catamenial hemoptysis and lung nodules. We describe the case of a 23-year-old woman with complaints of hemoptysis during menstrual period in the two years prior to the appointment. Initially, a treatment for tuberculosis was established with no success. Further investigation showed a 4 mm nodule in the right lung, and the transvaginal ultrasonography indicated the presence of deep endometriosis. Considering the occurrence of symptoms only during menses, an empirical therapy was instituted with remission of the complaints.

Resumo

A síndrome da endometriose torácica é uma condição rara que inclui quatro entidades: pneumotórax catamenial, hemotórax catamenial, hemoptise catamenial e nódulos pulmonares. Descrevemos o caso de uma mulher de 23 anos de idade com queixas de hemoptise durante o período menstrual por 2 anos. Inicialmente, um tratamento para a tuberculose foi estabelecido sem sucesso. Uma investigação adicional mostrou um nódulo de 4 mm no pulmão direito, e a ultrassonografia transvaginal indicou a presença de endometriose profunda. Considerando a ocorrência de sintomas somente durante a menstruação, uma terapia empírica foi instituída com remissão das queixas.

Keywords

endometriosis - hemoptysis - thoracic endometriosis syndrome

Palavras-chave

endometriose - hemoptise - síndrome da endometriose torácica
 

  • References

  • 1 Pankratjevaite L, Samiatina-Morkuniene D. A case report of thoracic endometriosis - A rare cause of haemothorax. Int J Surg Case Rep 2017; 33: 139-142 10.1016/j.ijscr.2017.02.052
    CrossrefPubMedGoogle Scholar
  • 2 Azizad-Pinto P, Clarke D. Thoracic endometriosis syndrome: case report and review of the literature. Perm J 2014; 18 (03) 61-65 10.7812/TPP/13-154
    CrossrefPubMedGoogle Scholar
  • 3 Jitruckthai P. A woman with recurrent hemoptysis, a rare etiology. J Med Assoc Thai 2015; 98 (06) 616-620
    PubMedGoogle Scholar
  • 4 Nair SS, Nayar J. Thoracic endometriosis syndrome: a veritable Pandora's Box. J Clin Diagn Res 2016; 10 (04) QR04-QR08 10.7860/JCDR/2016/17668.7700
    PubMedGoogle Scholar
  • 5 Alwadhi S, Kohli S, Chaudhary B, Gehlot K. Thoracic endometriosis-A rare cause of haemoptysis. J Clin Diagn Res 2016; 10 (04) TD01-TD02 10.7860/JCDR/2016/16365.7530
    Google Scholar
  • 6 Singh K, Agarwal S, Bishay E, Trotter S, Mansur AH. Catamenial hemoptysis. Am J Respir Crit Care Med 2013; 187 (06) 658 10.1164/rccm.201209-1579IM
    CrossrefPubMedGoogle Scholar
  • 7 Koninckx PR, Ussia A, Adamyan L, Wattiez A, Donnez J. Deep endometriosis: definition, diagnosis, and treatment. Fertil Steril 2012; 98 (03) 564-571 10.1016/j.fertnstert.2012.07.1061
    CrossrefPubMedGoogle Scholar
  • 8 Joseph J, Sahn SA. Thoracic endometriosis syndrome: new observations from an analysis of 110 cases. Am J Med 1996; 100 (02) 164-170 10.1016/S0002-9343(97)89454-5
    CrossrefPubMedGoogle Scholar
  • 9 Terada Y, Chen F, Shoji T, Itoh H, Wada H, Hitomi S. A case of endobronchial endometriosis treated by subsegmentectomy. Chest 1999; 115 (05) 1475-1478 10.1378/chest.115.5.1475
    CrossrefPubMedGoogle Scholar
  • 10 Rousset P, Rousset-Jablonski C, Alifano M, Mansuet-Lupo A, Buy JN, Revel MP. Thoracic endometriosis syndrome: CT and MRI features. Clin Radiol 2014; 69 (03) 323-330 10.1016/j.crad.2013.10.014
    CrossrefPubMedGoogle Scholar
  • 11 Guo SW. Recurrence of endometriosis and its control. Hum Reprod Update 2009; 15 (04) 441-461 10.1093/humupd/dmp007
    CrossrefPubMedGoogle Scholar
  • 12 Leonardo-Pinto JP, Benetti-Pinto CL, Cursino K, Yela DA. Dienogest and deep infiltrating endometriosis: The remission of symptoms is not related to endometriosis nodule remission. Eur J Obstet Gynecol Reprod Biol 2017; 211: 108-111 10.1016/j.ejogrb.2017.02.015
    CrossrefPubMedGoogle Scholar
  • 13 Jang HI, Kim SE, Kim TJ. , et al. Catamenial hemoptysis accompanied by subcutaneous endometriosis treated with combination therapy. Obstet Gynecol Sci 2017; 60 (02) 236-239 10.5468/ogs.2017.60.2.236
    CrossrefPubMedGoogle Scholar
  • 14 Choi SY, Kim CK, Park CB. Successful treatment of catamenial hemoptysis by video-assisted thoracoscopic surgery. Thorac Cardiovasc Surg 2013; 61 (01) 94-96 10.1055/s-0032-1330227
    Article in Thieme ConnectPubMedGoogle Scholar
  • 15 McCormack PL. Dienogest: a review of its use in the treatment of endometriosis. Drugs 2010; 70 (16) 2073-2088 10.2165/11206320-000000000-00000
    CrossrefPubMedGoogle Scholar