Tuberc Respir Dis.  2014 May;76(5):233-236. 10.4046/trd.2014.76.5.233.

A Case of Catamenial Hemoptysis Treated by Bronchial Artery Embolization

• Shin SP
• Park CY
• Song JH
• Kim HM
• Min D
• Lee SH
• Kang SH
• Jeon GS
• Lee JH

• KMID: 1842969
• DOI: http://doi.org/10.4046/trd.2014.76.5.233

Abstract

Catamenial hemoptysis is a rare condition, characterized by recurrent hemoptysis associated with the presence of intrapulmonary or endobronchial endometrial tissue. Therapeutic strategies proposed for intrapulmonary endometriosis with catamenial hemoptysis consist of medical treatments and surgery. Bronchial artery embolization is a well-established modality in the management of massive or recurrent hemoptysis, but has seldom been used for the treatment of catamenial hemoptysis. We report a case of catamenial hemoptysis associated with pulmonary parenchymal endometriosis, which was successfully treated by a bronchial artery embolization.

Keyword

Endometriosis; Hemoptysis; Embolization, Therapeutic

MeSH Terms

Bronchial Arteries*
Embolization, Therapeutic
Endometriosis
Female
Hemoptysis*

Figure

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  Figure 1 Initial posteroanterior chest radiograph shows no specific abnormality on the lung field.

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  Figure 2 (A) Chest computed tomography (CT) scan performed on 4th day of menstruation shows focal consolidation with surrounding ground glass opacity in the posterior basal segment of the left lower lobe. (B) In the CT scan on the 26th day of menstruation, previously noted focal consolidation with surrounding ground glass opacity in the left lower lobe has been resolved. Residual small noncalcified nodule is noted. (C) In the CT scan on the 1st day of the next menstruation, focal ground glass opacity and nodule is noted at the same location as previous one.

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  Figure 3 (A) Left bronchial angiography shows a small nodular staining in left lower lung field (arrow). (B) Left bronchial angiography after embolization shows no distal flow and disappearance of nodular staining.

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