1/7. Pulmonary endometriosis in a patient with unicornuate uterus and noncommunicating rudimentary horn.OBJECTIVE: To report a rare case of a patient with catamenial hemoptysis, secondary infertility, and endometriosis associated with a unicornuate uterus and noncommunicating rudimentary horn. DESIGN: Case report. SETTING: University hospital. PATIENT(S): A 29-year-old woman who developed progressive catamenial hemoptysis and secondary infertility was evaluated at the University Hospital of Crete. INTERVENTION(S): The complete history, laboratory data, laparoscopic findings, and chest magnetic resonance image of this patient were analyzed. A GnRH agonist, leuprolide acetate, was successfully administered. MAIN OUTCOME MEASURE(S): diagnosis and appropriate treatment of pulmonary endometriosis in a patient with rudimentary uterine horn. RESULT(S): Treatment with a GnRH agonist achieved suppression of both menstruation and hemoptysis. After 6 months of normal menstrual activity, the symptoms reappeared. The patient was again treated with leuprolide acetate (3.75 mg/mo IM) for 6 months and remained asymptomatic. In fact, the patient became pregnant after cessation of therapy. Finally, the patient was treated successfully with removal of the rudimentary uterine horn during cesarean section. Three-year follow-up showed disappearance of the chest symptoms. CONCLUSION(S): Pulmonary endometriosis and unicornuate uteri are rare. To our knowledge, this is the first case of catamenial hemoptysis with a congenital mullerian anomaly. We describe successful management using a combination of GnRH agonist and surgical resection of the rudimentary uterine horn.- - - - - - - - - - ranking = 1keywords = menstruation (Clic here for more details about this article) |
2/7. Catamenial hemoptysis and pulmonary endometriosis: a case report.hemoptysis can be caused by a variety of pulmonary diseases, including parasitic infections, tuberculosis, chronic bronchitis and malignancies. Rarely, pulmonary endometriosis can present with hemoptysis and pose a diagnostic problem to clinicians. Pulmonary endometriosis can easily be confused with other clinical entities, including pulmonary embolism, pneumonia and pneumothorax. Histopathologic confirmation is difficult, since the bleeding site is not easy to locate. However, a presumptive diagnosis of pulmonary endometriosis can be made with a typical clinical history. Even so, medical therapy may be problematic, with recurrence of symptoms despite hormonal ablation. We report a case of presumptive pulmonary endometriosis in a 32- year-old woman with a history of an induced abortion, who presented with catamenial hemoptysis (approximately one tablespoon per episode) occurring in the first 3 days of menstruation over an 11-month period. She was treated with an oral contraceptive for two months. No recurrence of hemoptysis was noted during 18 months of follow-up. The approach to diagnosis and treatment of pulmonary endometriosis is reviewed.- - - - - - - - - - ranking = 1keywords = menstruation (Clic here for more details about this article) |
3/7. Bronchopulmonary endometriosis: a rare cause of hemoptysis.We have reported a case of hemoptysis caused by pulmonary parenchymal endometriosis which was apparently successfully treated with danazol. Bronchopulmonary endometriosis is a very unusual cause of hemoptysis, and should be suspected on the basis of cyclic hemoptysis with menstruation. danazol is effective therapy, but information regarding optimal dosage and rates of recurrence after completion of therapy is limited at this time.- - - - - - - - - - ranking = 1keywords = menstruation (Clic here for more details about this article) |
4/7. A case of endometriosis of the lung treated with danazol.A 25-year-old Japanese woman, complaining of catamenial hemoptysis and severe cough complicated with menorrhalgia, was diagnosed as having pulmonary and pelvic endometriosis. She was treated with danazol for 20 weeks. Significant improvement of her condition was achieved during the treatment period. Catamenial hemoptysis recurred at the first menstruation after termination of the treatment. Readministration of danazol was refused. Therefore, surgical removal of the affected lobe of the right lung was performed. Cases of this rare disorder are reviewed.- - - - - - - - - - ranking = 1keywords = menstruation (Clic here for more details about this article) |
5/7. Catamenial pneumothorax with pleural endometriosis and hemoptysis.One case of recurrent pneumothorax, coinciding with menstruation, is documented. The ethiopathogenesis of this syndrome remains unknown, after studying the 44 cases. Their association with pleural endometriosis has only been found in nine cases. This new publication with pleural endometriosis and menstrual hemoptysis supports an endometriosis etiology. The surgical treatment of pneumothorax is effective, and a main disclosure of this syndrome would facilitate the research and enlightenment of the ethiopathogenesis.- - - - - - - - - - ranking = 1keywords = menstruation (Clic here for more details about this article) |
6/7. Thoracic endometriosis: a review and report of two cases.There have been 17 reported cases of histologically proved thoracic endometriosis and 27 cases of probable thoracic endometriosis based upon repetitive symptoms associated with menstruation and response to suppression of ovarian function. Two additional cases of probable thoracic endometriosis are reported. Seventeen of these 46 patients also had proved pelvic endometriosis and four others had clinical evidence of pelvic disease. In the majority of the cases there has been a delay in diagnosis accompanied by prolonged disability.- - - - - - - - - - ranking = 1keywords = menstruation (Clic here for more details about this article) |
7/7. Bronchoscopic and angiographic findings in tracheobronchial endometriosis.The case is described of a 31 year old woman who presented with complaints of recurrent haemoptysis coinciding with menstruation. Bronchoscopic examination revealed multiple purplish-red submucosal lesions on the right side of the trachea and bilateral bronchial trees which appeared during her menses and regressed in the intermenstrual periods. Brush cytology revealed cell clusters consistent with endometrial origin. Bronchial angiography demonstrated prominent vasculature at the right paratracheal area and bilateral bronchial trees corresponding to the lesions seen on bronchoscopic examination. Her haemoptysis was satisfactorily controlled by danazol therapy and follow up bronchoscopy showed disappearance of the tracheobronchial lesions. To our knowledge this is the first case of thoracic endometriosis with tracheal involvement.- - - - - - - - - - ranking = 1keywords = menstruation (Clic here for more details about this article) |