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Case Reports
. 2016 Apr;10(4):TD01-2.
doi: 10.7860/JCDR/2016/16365.7530. Epub 2016 Apr 1.

Thoracic Endometriosis-A Rare Cause of Haemoptysis

Seema Alwadhi  1 , Supreethi Kohli  2 , Bhupendra Chaudhary  3 , Kirti Gehlot  3
Affiliations
Case Reports

Thoracic Endometriosis-A Rare Cause of Haemoptysis

Seema Alwadhi et al. J Clin Diagn Res. 2016 Apr.

Abstract

Thoracic endometriosis is a rare condition and occurs in females of reproductive age due to the presence of active endometrial tissue in tracheobronchial tree, lung parenchyma and lung pleura. A typical history of haemoptysis during menstrual periods and strong suspicion of the disease entity is important for the diagnosis and management of the case. Diagnosis of the disease is usually delayed. Serial CT thorax during menstrual period and in non-menstrual period supports the diagnosis. We present here a case of catamenial haemoptysis. The diagnosis was missed initially but later a detailed clinical history revealed the same. Serial computed tomography of thorax taken during menstrual and after menstrual period supported the diagnosis. Though bronchoscopy was able to reveal hyperemic tissue in the tracheobronchial tree, bronchial washing was inconclusive. The patient was treated successfully with danazol.

Keywords: Catamenial haemoptysis; Computed tomography; Menstrual period; Thorax.

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Figures

[Table/Fig-1a,b]:
[Table/Fig-1a,b]:
Sagittal and axial view showing subtle ground glass opacity in posterior basal segment of left lower lobe (Arrows).
[Table/Fig-2a,b]:
[Table/Fig-2a,b]:
Axial and sagittal view showing clearing of the lesions (Arrows).
See this image and copyright information in PMC

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