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Successful Endoscopic Nd-YAG Laser Treatment of Endobronchial Endometriosis*

Francesco Puma; Angelo Carloni; Giovanni Casucci; Carla Puligheddu; Moira Urbani; Giuseppina Porcaro
Author and Funding Information

*From the Division of Thoracic Surgery (Drs. Puma, Casucci, Urbani, and Porcaro), University of Perugia, Ospedale Civile S. Maria, Terni, Perugia, Italy; and the Department of Radiology (Drs. Carloni and Puligheddu), Ospedale di Città di Castello, Castello, Italy.

Correspondence to: Francesco Puma, MD, Chirurgia Toracica, Ospedale Civile S. Maria, 05100 Terni, Italy; e-mail: francescopuma@aospterni.it



Chest. 2003;124(3):1168-1170. doi:10.1378/chest.124.3.1168
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Catamenial hemoptysis is a rare condition that is associated with the presence of intrapulmonary or endobronchial endometrial tissue. Diagnosis of and therapy for this condition are still a matter of debate. We describe a case of endobronchial endometriosis with catamenial hemoptysis. An endobronchial lesion was diagnosed by spiral CT scan, taken at the onset of the menses, and confirmed with flexible bronchoscopy. The patient was successfully treated with endoscopic Nd-YAG laser therapy with a 1-day in-hospital procedure. We suggest that endoscopic laser treatment should be the first line of therapy for central airway endometriosis, provided that the source of bleeding has been conclusively located and all of the lesions can be reached with the bronchoscope.

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