Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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Catamenial Hemoptysis Caused by the Endometriosis of the Lung Parenchyme, Treated with Bisegmental Wedge Resection

월경성 객혈로 발현되고, 부분폐엽절제술로 치료된 폐실질의 자궁내막증식증 1예

  • Lee, Sun Min (Department of Pulmonology and Critical care Medicine, Ajou University School of Medicine) ;
  • Chung, Sung Chul (Department of Pulmonology and Critical care Medicine, Ajou University School of Medicine) ;
  • Kim, Sang Don (Department of Pulmonology and Critical care Medicine, Ajou University School of Medicine) ;
  • Ma, Kyung Ai (Department of Pulmonology and Critical care Medicine, Ajou University School of Medicine) ;
  • Kim, Young Joon (Department of Pulmonology and Critical care Medicine, Ajou University School of Medicine) ;
  • Song, Young Goo (Department of Pulmonology and Critical care Medicine, Ajou University School of Medicine) ;
  • Hwang, Sung Chul (Department of Pulmonology and Critical care Medicine, Ajou University School of Medicine) ;
  • Lee, Yi Hyung (Department of Pulmonology and Critical care Medicine, Ajou University School of Medicine) ;
  • Ryu, Han Young (Department of Cardiovascular Surgery, Ajou University School of Medicine) ;
  • Lee, Chul Joo (Department of Cardiovascular Surgery, Ajou University School of Medicine) ;
  • Park, Kyoung Joo (Department of Radiology, Ajou University School of Medicine) ;
  • Kim, Jung Sun (Department of Pathology, Ajou University School of Medicine) ;
  • Han, Myoung Ho (Department of Pulmonology and Critical care Medicine, Ajou University School of Medicine)
  • 이선민 (아주대학교 의과대학 호흡기내과학교실) ;
  • 정성철 (아주대학교 의과대학 호흡기내과학교실) ;
  • 김상돈 (아주대학교 의과대학 호흡기내과학교실) ;
  • 마경애 (아주대학교 의과대학 호흡기내과학교실) ;
  • 김영준 (아주대학교 의과대학 호흡기내과학교실) ;
  • 송영구 (아주대학교 의과대학 호흡기내과학교실) ;
  • 황성철 (아주대학교 의과대학 호흡기내과학교실) ;
  • 이이형 (아주대학교 의과대학 호흡기내과학교실) ;
  • 류한영 (아주대학교 의과대학 흉부외과학교실) ;
  • 이철주 (아주대학교 의과대학 흉부외과학교실) ;
  • 박경주 (아주대학교 의과대학 진단방사선과학 교실) ;
  • 김정선 (아주대학교 의과대학 병리학 교실) ;
  • 한명호 (아주대학교 의과대학 호흡기내과학교실)
  • Published : 1997.02.28
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Abstract

Catamenial hemoptysis is a tenn 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 lime of mensturation and treated effectively with bisegmental wedge resection.

저자들은 반복적인 월경성 객혈을 주소로 내원한 35세 여자 환자에서 흉부 전산화 단층촬영으로 병소를 확인한 후 부분폐엽절제술로 치유한 우측 폐실질내의 자궁내막증식증을 경험하였기에 보고하는 바이다.

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