RT Journal Article
SR Electronic
T1 Catamenial Pneumothorax Due to Bilateral Pulmonary Endometriosis
JF Respiratory Care
FD American Association for Respiratory Care
SP 1182
OP 1185
DO 10.4187/respcare.01256
VO 57
IS 7
A1 Hsin-Yuan Fang
A1 Chia-Ing Jan
A1 Chien-Kuang Chen
A1 William Tzu-Liang Chen
YR 2012
UL http://rc.rcjournal.com/content/57/7/1182.abstract
AB Co-existence of catamenial pneumothorax and hemoptysis is rare. We present a case of catamenial pneumothorax due to bilateral pulmonary endometriosis in a 45-year-old woman. The patient presented with a 3-year history of intermittent productive cough with blood-tinged sputum, chronic anemia, loss of appetite, and general weakness associated with menstruation. Three years prior to this presentation the patient had undergone a sigmoidectomy as treatment for endometriosis of the sigmoid colon with bleeding. Chest radiographs and computed tomography (CT) scan revealed multiple nodules in both lung parenchyma and recurrent pneumothorax. CT-guided biopsy revealed chronic inflammation of those pulmonary nodules, and laboratory studies disclosed elevated serum levels of carbohydrate antigen 19–9 (CA 19–9) and CA 125. Thoracoscopic wedge resection of the pulmonary nodules was performed, and histopathological examination of the resected nodules revealed endometriosis. At one-year follow-up there was no evidence of recurrence of gastrointestinal bleeding or pneumothorax.