Recurrent hemoptysis in a 26-year-old woman with a ground-glass opacity lesion of the lung = Recurrent hemoptysis in a 26-year-old woman with a ground-glass opacity lesion of the lung

다국어 초록 (Multilingual Abstract)

Hemoptysis is a major reason for emergency department (ED) visits. Catamenial hemoptysis (CH), a rare condition of thoracic endometriosis, can cause recurrent hemoptysis but is difficult to diagnose in the ED due to the scarcity of cases and nonspecific clinical findings. We report a case of a 26-year-old woman who presented to the ED with recurrent hemoptysis since 2 years without a definite cause. Her vital signs and blood test findings were unremarkable. Chest computed tomography (CT) did not show any specific lesions other than a non-specific ground-glass opacity pattern in her right lung. She was on day 4 of her menstrual cycle and her hemoptysis frequently occurred during menstruation. Although there was no histological confirmation, based on her history of hemoptysis during menstruation and no other cause of the hemoptysis, the patient was tentatively diagnosed with CH and was administered gonadotropin-releasing hormone. She had no recurrence of hemoptysis for 3 months. While CH is difficult to diagnose in the ED, the patient’s recurrent hemoptysis related to menstruation was a clue to the presence of CH. Therefore, physicians should determine the relationship between hemoptysis and menstruation for women of childbearing age presenting with repeated hemoptysis without a definite cause.

참고문헌 (Reference)

1 Channabasavaiah AD, "Thoracic endometriosis: revisiting the association between clinical presentation and thoracic pathology based on thoracoscopic findings in 110 patients" 89 : 183-188, 2010

2 Joseph J, "Thoracic endometriosis syndrome : new observations from an analysis of 110 cases" 100 : 164-170, 1996

3 Azizad-Pinto P, "Thoracic endometriosis syndrome : case report and review of the literature" 18 : 61-65, 2014

4 Rousset P, "Thoracic endometriosis syndrome : CT and MRI features" 69 : 323-330, 2014

5 Alifano M, "Thoracic endometriosis : current knowledge" 81 : 761-769, 2006

6 Vinatier D, "Theories of endometriosis" 96 : 21-34, 2001

7 Garzon AA, "Exsanguinating hemoptysis" 84 : 829-833, 1982

8 Han CD, "Evaluation of patients with hemoptysis and a normal chest roentgenogram" 42 : 42-49, 1995

9 황선미, "Clinical features of thoracic endometriosis: A single center analysis" 대한산부인과학회 58 (58): 223-231, 2015

10 Jean-Baptiste E, "Clinical assessment and management of massive hemoptysis" 28 : 1642-1647, 2000

11 Alifano M, "Catamenial pneumothorax : a prospective study" 124 : 1004-1008, 2003

12 Elliot DL, "Catamenial hemoptysis. New methods of diagnosis and therapy" 87 : 687-688, 1985

13 장해인, "Catamenial hemoptysis accompanied by subcutaneous endometriosis treated with combination therapy" 대한산부인과학회 60 (60): 236-239, 2017

14 Kim CJ, "Catamenial hemoptysis : a nationwide analysis in Korea" 79 : 296-301, 2010

15 Hope-Gill B, "Catamenial haemoptysis and clomiphene citrate therapy" 58 : 89-90, 2003

16 Lattes R, "A clinical and pathologic study of endometriosis of the lung" 103 : 552-558, 1956

17 신석표, "A Case of Catamenial Hemoptysis Treated by Bronchial Artery Embolization" 대한결핵및호흡기학회 76 (76): 233-236, 2014