Thoracic endometriosis with catamenial haemoptysis and pneumothorax: computed tomography findings and long-term follow-up after danazol treatment.

Thitiporn Suwatanapongched; Viboon Boonsarngsuk; Naparat Amornputtisathaporn; Paisan Leelachaikul

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Thoracic endometriosis with catamenial haemoptysis and pneumothorax: computed tomography findings and long-term follow-up after danazol treatment.

Author: Thitiporn SUWATANAPONGCHED ¹ ; Viboon BOONSARNGSUK ² ; Naparat AMORNPUTTISATHAPORN ² ; Paisan LEELACHAIKUL ³
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1. Division of Diagnostic Radiology, Department of Diagnostic and Therapeutic Radiology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
2. Division of Pulmonary and Critical Care, Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
3. Department of Pathology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Publication Type:Case Reports
Keywords: catamenial haemoptysis; catamenial pneumothorax; pleural endometriosis; pulmonary endometriosis; thoracic endometriosis
MeSH: Adult; Biopsy; Danazol; therapeutic use; Endometriosis; complications; diagnostic imaging; Female; Follow-Up Studies; Hemoptysis; complications; diagnostic imaging; Humans; Menstruation; Pneumothorax; complications; diagnostic imaging; Tomography, X-Ray Computed; Treatment Outcome
From:Singapore medical journal 2015;56(7):e120-3
CountrySingapore
Language:English
Abstract: Thoracic endometriosis (TE) is an uncommon disorder affecting women of childbearing age. We herein report clinical and thin-section computed tomography (CT) findings of two cases, in which one woman presented with catamenial haemoptysis (CH) alone and another woman presented with bilateral catamenial pneumothoraces (CP) coinciding with CH, a rare manifestation of TE. The dynamic changes demonstrated on thin-section chest CT performed during and after menses led to accurate localisation and presumptive diagnosis of TE in both patients. Following danazol treatment, the patient with CH alone had a complete cure, while the patient with CP and CH had an incomplete cure and required long-term danazol treatment. We discuss the role of imaging studies in TE, with an emphasis on the appropriate timing and scanning technique of chest CT in women presenting with CH, potential mechanisms, treatment and patient outcomes.