Catamenial Hemoptysis and Pneumothoraces in a Patient with Cystic Fibrosis
| Autor: | Christopher M. Parker, Robert L. Nolan, M.D. Lougheed |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Adult
Pulmonary and Respiratory Medicine Hemoptysis medicine.medical_specialty Cystic Fibrosis media_common.quotation_subject Endometriosis Case Report Critical Care and Intensive Care Medicine Cystic fibrosis Queen (playing card) Menstruation Diseases of the respiratory system Thoracic endometriosis medicine Humans Menstrual cycle media_common Danazol RC705-779 medicine.diagnostic_test business.industry General surgery Estrogen Antagonists Pneumothorax Magnetic resonance imaging Syndrome medicine.disease Surgery Transplantation Treatment Outcome Female Radiology Cardiology and Cardiovascular Medicine business Lung Transplantation medicine.drug |
| Zdroj: | Canadian Respiratory Journal, Vol 14, Iss 5, Pp 295-297 (2007) |
| ISSN: | 1198-2241 |
| Popis: | Hemoptysis or pneumothorax that recurs with the onset of menses is strongly suggestive of thoracic endometriosis syndrome (TES). TES is a rare disorder, with relatively few cases reported in the literature. A 32-year-old woman with cystic fibrosis, who over a period of several months had experienced recurrent catamenial hemoptysis and pneumothoraces, including an episode of life-threatening hemoptysis that coincided with menstruation, is presented. Thoracic computed tomography and magnetic resonance imaging scans, as well as a bronchosopic evaluation that demonstrated endobronchial lesions that disappeared after menses, support the diagnosis of TES in the present patient. The patient was treated empirically with danazol and subsequently underwent a successful double-lung transplantation. Danazol was discontinued postoperatively, and she was started on an oral contraceptive. Eighteen months post-transplant, she has not experienced a recurrence of her catamenial symptoms, despite having resumed a regular menstrual cycle. |
| Databáze: | OpenAIRE |
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