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Catamenial Hemoptysis : Diagnosis With MRI

Paolo Claudio Cassina; Markus Hauser; Georg Kacl; Bruno Imthurn; Sören Schröder; Walter Weder
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Affiliations: From the Department of Surgery, Zurich University Hospital, Zürich, Switzerland,  From the Department of Medical Radiology, Zurich University Hospital, Zürich, Switzerland,  From the Department of Obstetrics and Gynecology, Zurich University Hospital, Zürich, Switzerland,  From the Department of Pathology, Zurich University Hospital, Zürich, Switzerland

Affiliations: From the Department of Surgery, Zurich University Hospital, Zürich, Switzerland,  From the Department of Medical Radiology, Zurich University Hospital, Zürich, Switzerland,  From the Department of Obstetrics and Gynecology, Zurich University Hospital, Zürich, Switzerland,  From the Department of Pathology, Zurich University Hospital, Zürich, Switzerland

Affiliations: From the Department of Surgery, Zurich University Hospital, Zürich, Switzerland,  From the Department of Medical Radiology, Zurich University Hospital, Zürich, Switzerland,  From the Department of Obstetrics and Gynecology, Zurich University Hospital, Zürich, Switzerland,  From the Department of Pathology, Zurich University Hospital, Zürich, Switzerland

Affiliations: From the Department of Surgery, Zurich University Hospital, Zürich, Switzerland,  From the Department of Medical Radiology, Zurich University Hospital, Zürich, Switzerland,  From the Department of Obstetrics and Gynecology, Zurich University Hospital, Zürich, Switzerland,  From the Department of Pathology, Zurich University Hospital, Zürich, Switzerland


1997 by the American College of Chest Physicians


Chest. 1997;111(5):1447-1450. doi:10.1378/chest.111.5.1447
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Abstract

Thoracic endometriosis is a rare disorder. We report a case of a 26-year-old woman with a 4-year history of catamenial hemoptysis due to thoracic endometriosis which was diagnosed by MRI and treated successfully by means of video-assisted thoracoscopic wedge-resection of the solitary pulmonary lesion. Medical therapy with hormones was not necessary. There is no evidence of recurrence 10 months after the operation. This case demonstrates that MRI of the chest may be considered for the diagnostic work-up of patients with catamenial hemoptysis. It also shows that wedge-resection of pulmonary endometriosis foci by means of video-assisted thoracoscopy—an approach that has not been described in the literature thus far—is an effective therapy in localized peripheral pulmonary parenchymal endometriosis.


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