• Title/Summary/Keyword: Thoracic endometriosis

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Percutaneous Cryoablation of Multiple Pulmonary Endometriosis

  • Kim, Chong Hoon;Lee, Doo Yun;Moon, Duk Hwan;Lee, Sungsoo
    • Journal of Chest Surgery
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    • v.54 no.1
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    • pp.75-78
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    • 2021
  • Minimally invasive cryoablation is often considered for lung tumor patients with high surgical risk or inoperable metastatic lung tumors. Cryoablation is a type of thermal percutaneous ablation in which argon and helium gases are delivered via a cryoprobe to induce tissue freezing and necrosis. We report the case of a 23-year-old woman who had suffered from multiple pulmonary endometriosis with frequent intermittent hemoptysis during menstruation for 6 years prior to her visit. She was treated with cryoablation at our hospital, and since her treatment, she has been doing well with no hemoptysis for at least 6 months. Although endometriosis is a benign lung disease, cryoablation is an ideal and effective treatment option for patients with multiple endometriosis.

A Case of Pulmonary Endometriosis Causing Catamenial Hemoptysis (월경시 객혈을 동반한 폐 자궁내막증 치험 1예)

  • Jang, Won-Chae;Yu, Ung;Kim, Byong-Pyo;Choi, Yong-Sun;Hong, Sung-Bum;Oh, Bong-Suk
    • Journal of Chest Surgery
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    • v.37 no.1
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    • pp.95-97
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    • 2004
  • Pulmonary endometriosis is a rare disorder. We report a case of a 38-year-old woman with a 10-year history of catamenial hemoptysis due to pulmonary endometriosis which was diagnosed by CT during menstruation and treated successfully by wedge-resection of the right middle lobe. Medical therapy with hormones was not performed, There is no evidence of recurrence 5 months after the operation.

Spontaneous Pneumothorax associated with Thoracic Endometriosis - Report of a case- (흉부 자궁내막증에 의한 자연 기흉 - 1예 보고 -)

  • Cho Jung Soo;Kim Young Sam;Kim Joung Taek;Baek Wan Ki;Lee Kyung Hi;Kim Lucia;Kim Kwang Ho
    • Journal of Chest Surgery
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    • v.38 no.7 s.252
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    • pp.518-521
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    • 2005
  • Pneumothorax associated with thoracic endometriosis is a rare clinical entity and it is called catamenial pneumothorax if the recurrence of pneumothorax is related to the period of menstruation. Several hypotheses about its pathogenesis are suggested including spontaneous rupture of the bulla, endometrial implants of the visceral pleura, and passage of air from the genital tract through endometrial fenestration of the diaphragm. Pneumothorax is associated with chest pain and dyspnea within 72 hours of the onset of menses in young women and developed usually at right side. We report a case of 32-year-old woman who had bilateral pneumothorax and thoracic endometriosis confirmed histopathologically in the visceral pleura by thoracotomy.

Video-Assisted Thoracic Surgery for Pulmonary Endometriosis -Report of 1 Case- (흉강경을 이용한 폐 자궁내막증의 절제 -1예 보고-)

  • Cho, Seong Joon;Rhyu, Se Min;Kim, Woo Jin;Lee, Seung-Joon;Kim, Yeon Soo
    • Tuberculosis and Respiratory Diseases
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    • v.60 no.5
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    • pp.576-580
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    • 2006
  • 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.

A Case of Pleural Endometriosis Presented as Right Sided Hemothorax in a Patient Who Underwent Kidney Transplantation (신장이식 후 우측 혈흉으로 발현한 흉막자궁내막증 1예)

  • Shin, Eun-Hye;Shin, Bo-Mi;Ha, Yeon-Jung;Jang, Il-Young;Jung, Ji-Won;Cho, Hyung-Jin;Park, Su-Kil
    • Journal of Yeungnam Medical Science
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    • v.30 no.2
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    • pp.145-148
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    • 2013
  • Thoracic endometriosis is an uncommon disease that has four main forms: catamenial pneumothorax, hemothorax, hemoptysis, and pulmonary nodules. Since the growth of endometrial tissue depends on the presence of estrogen, thoracic endometriosis usually occurs in menstruating women between 25 and 35 years of age. Menstrual disturbances are common in women with chronic kidney disease (CKD). However, they could be reversed after kidney transplantation. Therefore, previously asymptomatic endometriosis may become symptomatic after kidney transplantation. A 49-year-old woman with CKD underwent kidney transplantation. A month later, she experienced dyspnea, and hemothorax in her right hemithorax. However, there was no evidence of infectious diseases and malignancy in thoracentesis, pleural biopsy, and computed chest tomography (CT). The serum and pleural fluid levels of his carbohydrate antigen 125 were elevated. Hemothorax secondary to pleural endometriosis was suspected. We tried hormonal therapy, and the hemothorax disappeared. At the sixth-month follow-up, there was no recurrence of hemothorax.

Extrapelvic Endometriosis (골반외 자궁내막증)

  • Chang, Ki-Hong;Yeon, Hye-Jeong;Park, Kyoung-Soo;Lee, Yoon-Ho;Hwang, Dong-Hun
    • Clinical and Experimental Reproductive Medicine
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    • v.20 no.2
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    • pp.177-181
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    • 1993
  • Endometriosis involving sites outside the pelvic cavity is a relatively uncommon occurrence and its frequency is cited as being less than one percent of all occurences of endometriosis. Sites previously reported in literature have described involvement of the extraperitoneal portion of the round ligament, the rectosigmoid, the appendix, and the ileum. Other more distal sites reported to have been found to have endometriosis lesions include the inguinal ligaments, the umbilicus, abdominal incisional wounds, thoracic lesions involving the pleura or diaphragm which may result in catamenial pneumothorax, the kidneys, and vulvar episiotomy wounds. Endometriosis have even been reported to occur in males. In this presentation, three cases of endometriosis, two involving the vulvar area and one involving a Pfannenstiel incision wound, is presented with a review of the pertinent literature in order to discuss its etiology, pathology, diagnosis and treatment.

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A Case of Pulmonary Endometriosis Resected by Video-Assisted Thoracoscopic Surgery (흉강경술로 제거한 폐 자궁내막증 (Pulmonary Endometriosis) 1예)

  • Ham, Hyoung Suk;Chung, Man Pyo;Lee, Byung-Wook;Han, Kyung Hoon;Kim, Hojoong;Han, Joungho;Shim, Yong Mog;Kwon, O Jung
    • Tuberculosis and Respiratory Diseases
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    • v.56 no.5
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    • pp.542-549
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    • 2004
  • Catamenial hemoptysis is a rare condition caused by thoracic endometriosis that presents as tracheobronchial or pulmonary endometriosis. While hormonal treatment may cause virilization and sterility, due to the antiestrogenic effect, its surgical removal via thoracotomy is a particularly invasive procedure and is not recommended as the first choice treatment in young woman. Successful surgical removal by video-assisted thoracoscopic surgery (VATS) has recently been reported, and may be indicated for young patients who at some stage would like to become pregnant. Herein, a case of a 25-year-old unmarried woman with catamenial hemoptysis, cured by VATS, is reported.

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;Chung, Sung Chul;Kim, Sang Don;Ma, Kyung Ai;Kim, Young Joon;Song, Young Goo;Hwang, Sung Chul;Lee, Yi Hyung;Ryu, Han Young;Lee, Chul Joo;Park, Kyoung Joo;Kim, Jung Sun;Han, Myoung Ho
    • Tuberculosis and Respiratory Diseases
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    • v.44 no.1
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    • pp.197-202
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    • 1997
  • 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.

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Computed Tomography of Catamenial Hemoptysis (월경성 객혈의 흉부 단층촬영)

  • Kim, In-Han;Jang, Dong-Seob;Park, Tae-Byung;Koh, Kwang-Kon;Cho, Chul-Ho;Park, Chan-Sup;Lee, Chang-Hun
    • Tuberculosis and Respiratory Diseases
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    • v.41 no.5
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    • pp.558-561
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    • 1994
  • Bronchopulmonary endometriosis is a rare cause of hemoptysis. We describe a woman with recurrent hemoptysis during menstruation. The site of origin of hemoptysis was localized on chest CT images. CT appears to be the method of choice for the correct intrapulmonary localization of this disease. The hematogenous spread from the pelvis to the lungs has been proposed for the mechanism for the development of parenchymal pulmonary endometriosis. Thoracic endometriosis is reviewed and new therapeutic modalities are discussed.

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A Case of Pulmonary Endometriosis Treated by Resection (폐절제술로 치료한 폐 자궁내막증 1예)

  • Park, Sang-Mi;Shin, Eun Jung;Kang, Kyung Mi;Kim, Min Kuk;Cho, Deog Gon;Song, So Hyang;Kim, Chi Hong
    • Tuberculosis and Respiratory Diseases
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    • v.61 no.4
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    • pp.394-397
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    • 2006
  • Periodic hemoptysis occurring at the time of menstruation (catamenial hemoptysis) is a rare disorder and generally signifies indicates the presence of thoracic endometriosis. A diagnosis of catamenial hemoptysis is usually established based on the clinical history and the exlusion of other causes of the recurrent hemoptysis. Serial computed tomograms of the chest during and in the interval between menstruations periods is a useful confirmatory test. We report the case of a 22 year-old women who suffered from catamenial hemoptysis for 10 months and was treated successfully with a wedge resection of the lesion by video-assisted thoracoscopic surgery(VATS). There was no evidence of recurrence. In conclusion. VATS is a good choice as a for single focus for catamenial hemoptysis.