Journal List > Tuberc Respir Dis > v.60(5) > 1000956

TOOLS
Cho, Rhyu, Kim, Lee, and Kim: Video-Assisted Thoracic Surgery for Pulmonary Endometriosis -Report of 1 Case-
Case Report
Tuberculosis and Respiratory Diseases

Tuberculosis and Respiratory Diseases 2006; 60(5): 576-580.

Published online: 31 May 2006

DOI: https://doi.org/10.4046/trd.2006.60.5.576

Video-Assisted Thoracic Surgery for Pulmonary Endometriosis -Report of 1 Case-

Seong Joon Cho, M.D.1, Se Min Rhyu, M.D.1, Woo Jin Kim, M.D.2, Seung-Joon Lee, M.D.2, Yeon Soo Kim, M.D.3

1Department of Thoracic and Cardiovascular Surgery, College of Medicine, Kangwon National University, Korea.

2Department of Internal Medicine, College of Medicine, Kangwon National University, Korea.

3Department of Thoracic and Cardiovascular Surgery, Ilsan Paik Hospital, College of Medicine, Inje University, Korea.

Address for correspondence: Seonjoon Cho, M.D. Department of Rhoracic and Cardiovascular Surfery, Kangwon National University, College of Medicine, 17-1 Hyoja 3 Dong, ChunCheon, 200-947, Korea. Phone: 033-258-2294, Fax: 033-257-4636, joon@kangwon.ac.kr

Received 13 September 2005       Accepted 17 May 2006

Copyright © 2006 The Korean Academy of Tuberculosis and Respiratory Diseases

Abstract

Pulmonary endometriosis is an uncommon disease, and usually detected by catamenial hemoptysis. Treatment of pulmonary endometriosis may be medical(hormone therapy) or surgical. Since hormone therapy may cause sterility, most of patients who wish to conceive usually choose surgical resection. Although video-assisted thoracic surgery(VATS) has advantage of small scar, reducing postoperative pain and shortening hospital stay, it is not easy to locate the precise lesion and resect whole endometrial tissue not to be remained. 17 years old female with catamenial hemoptysis was treated sucessfully with a partial resection of the lung using VATS, and has been asymptomatic for 7months since the operation.

Keywords: Pulmonary endometriosis, Catamenial pneumothorax, Video-assisted thoracic surgery(VATS)

Figures and Tables

Figure 1
A. Preoperative chest PA shows no active lesion. B. Chest CT scan obtained during the patient's menstrual period shows GGO(ground glass opacity) at the latero-basal segment of right lower lobe. C. But the previous GGO is disappeared on the repeated CT scan during the intermenstrual period.
trd-60-576-g001
Figure 2
Bleeding was seen from entry of the latero-basal segmental bronchus, right lower lobe during the menstrual period of the patient.
trd-60-576-g002
Figure 3
Yellow-brown colored lesions were seen on the lateral surface of the lower lung, and also was dark-red colored hemorrhagic area around the lesion.
trd-60-576-g003
Figure 4
Histologic section shows intraalveolar hemorrhage and aggregates of hemosiderin-laden macrophage(H&E, ×16 and ×200)
trd-60-576-g004

References

1. Parks WW. Experimental trophoblastic embolism of the lungs. J Pathol Bacteriol. 1958. 75:257–265.
2. Vinatier D, Orazi G, Cosson M, Dufour P. Theories of endometriosis. Eur J Obstet Gynecol Reprod Biol. 2001. 96:21–34.
3. Kwak YT, Maeng DH, Bae CY, Lee SH, Kim JS, Lee HP. Catamenial hemoptysis: report of one case. Korean J Thorac Cardiovasc Surg. 2000. 33:597–600.
4. Jang WC, Yu U, Kim BP, Choi YS, Hong SB, Oh BS. A case of pulmonary endometriosis causing catamenial hemoptysis. Korean J Thorac Cardiovasc Surg. 2004. 37:95–97.
5. Kim KJ, Cho YH, Choi BK, Choi EU, Chang YS, Kim HJ, et al. Pulmonary endometriosis. Tuberc Respir Dis. 1999. 47:389–393.
6. Lee SM, Chung SC, Kim SD, Ma KA, Kim YJ, Song YG, et al. Catamenial hemoptysis caused by the endometriosis of the lung parenchyme, treated with Bisegmental Wedge Resection. Tuberc Respir Dis. 1997. 44:197–202.
7. Ham HS, Chung MP, Lee BW, Han KH, Kim HJ, Han JH, et al. A case of pulmonary endometriosis resected by video-assisted thoracoscopic surgery. Tuberc Respir Dis. 2004. 56:542–549.
8. Choi JH, Kim MJ, Park WB, Ha JH, Lee JH. A case of parenchymal pulmonay endometriosis. Korean J Obstet Gynecol. 1995. 38:1318–1322.
9. Kiyan E, Kilicaslan Z, Caglar E, Yilmazbayhan D, Tabak L, Gurgan M. An unusual radiographic finding in pulmonary parenchymal endometriosis. Acta Radiol. 2002. 43:164–166.
10. Inoue T, Kurokawa Y, Kaiwa Y, Abo M, Takayama T, Ansai M, et al. Video-assisted thoracoscopic surgery for catamenial hemoptysis. Chest. 2001. 120:655–658.
11. Alifano M, Roth T, Broet SC, Schussler O, Magdeleinat P, Regnard JF. Catamenial pneumothorax: a prospective study. Chest. 2003. 124:1004–1008.
TOOLS
Similar articles