Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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Catamenial Hemoptysis Treated by Video-assisted Thoracoscopic Surgery

비디오 흉강경 수술로 완치된 월경성 객혈

  • Cho, Chang Beom (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Kim, Dong-Gyu (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Kim, Changhwan (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Park, Ji Young (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Lee, Seok Won (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Jang, Seung Hun (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Jung, Ki-Suck (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Jun, Sun-Young (Department of Pathology, Hallym University College of Medicine) ;
  • Lee, Jae Woong (Department of Thoracic and Cardiovascular Surgery, Hallym University College of Medicine)
  • 조창범 (한림대학교 의과대학 내과학교실) ;
  • 김동규 (한림대학교 의과대학 내과학교실) ;
  • 김창환 (한림대학교 의과대학 내과학교실) ;
  • 박지영 (한림대학교 의과대학 내과학교실) ;
  • 이석원 (한림대학교 의과대학 내과학교실) ;
  • 장승훈 (한림대학교 의과대학 내과학교실) ;
  • 정기석 (한림대학교 의과대학 내과학교실) ;
  • 전선영 (한림대학교 의과대학 병리학교실) ;
  • 이재웅 (한림대학교 의과대학 흉부외과학교실)
  • Received : 2008.07.08
  • Accepted : 2008.07.14
  • Published : 2008.07.30
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Abstract

Catamenial hemoptysis is a rare condition that's characterized by recurrent hemoptysis occurring in association with menstruation, and this is associated with the presence of intrapulmonary or endobronchial endometrial tissue. The diagnosis of pulmonary endometriosis can be made according to a typical clinical history and with exclusion of other causes of recurrent hemoptysis. Treatment of pulmonary endometriosis can be medical or surgical; however, the optimal management of this condition is still a matter of debate. Medical therapy may be problematic, due to recurrence of symptoms despite hormonal ablation, and adverse effects from long-term hormone therapy can also be a problem. We report here on a case of pulmonary endometriosis in a 23-year-old woman who presented with hemoptysis that occurred during the first 3 days of menstruation, and this happened over a 4 month period. She was successfully treated by video-assisted thoracoscopic surgery (VATS). No more hemoptysis was noted during 12 months of follow-up.

월경성 객혈은 폐 자궁내막증에 의하여 주기적으로 월경이 시작할 때 발생하고 특별한 치료를 하지 않아도 월경이 끝나면 호전되는 특징을 가지고 있으며, 특징적인 임상 증상과 객혈을 일으킬 수 있는 다른 질환들을 배제한 다음 진단을 내리게 된다. 원인과 치료에 대해서는 아직 확립된 바가 없으나 가임기 여성에서는 내과적인 치료보다는 수술적 절제를 선택하는 경우가 많다. 저자들은 월경과 동반된 객혈을 주소로 내원한 23세 환자에서 기관지내시경 검사 및 흉부 전산화단층촬영으로 출혈 부위를 추정한 뒤 비디오 흉강경 수술을 통해 병소를 확인하고 치료한 예가 있어 보고하는 바이다.

Keywords

References

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