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Catamenial hemoptysis and pneumothorax in a patient with cystic fibrosis.
Can Respir J 2007 Jul-Aug; 14(5):295-7CR

Abstract

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 bronchoscopic 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.

Authors+Show Affiliations

Division of Respiratory and Critical Care Medicine, Department of Medicine, Queen's University, 102 Stuart Street, Kingston, Ontario, Canada. parkerc@post.queensu.caNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

17703246

Citation

Parker, Chris M., et al. "Catamenial Hemoptysis and Pneumothorax in a Patient With Cystic Fibrosis." Canadian Respiratory Journal, vol. 14, no. 5, 2007, pp. 295-7.
Parker CM, Nolan R, Lougheed MD. Catamenial hemoptysis and pneumothorax in a patient with cystic fibrosis. Can Respir J. 2007;14(5):295-7.
Parker, C. M., Nolan, R., & Lougheed, M. D. (2007). Catamenial hemoptysis and pneumothorax in a patient with cystic fibrosis. Canadian Respiratory Journal, 14(5), pp. 295-7.
Parker CM, Nolan R, Lougheed MD. Catamenial Hemoptysis and Pneumothorax in a Patient With Cystic Fibrosis. Can Respir J. 2007;14(5):295-7. PubMed PMID: 17703246.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Catamenial hemoptysis and pneumothorax in a patient with cystic fibrosis. AU - Parker,Chris M, AU - Nolan,Robert, AU - Lougheed,M Diane, PY - 2007/8/19/pubmed PY - 2007/11/6/medline PY - 2007/8/19/entrez SP - 295 EP - 7 JF - Canadian respiratory journal JO - Can. Respir. J. VL - 14 IS - 5 N2 - 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 bronchoscopic 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. SN - 1198-2241 UR - https://www.unboundmedicine.com/medline/citation/17703246/Catamenial_hemoptysis_and_pneumothorax_in_a_patient_with_cystic_fibrosis_ L2 - https://dx.doi.org/10.1155/2007/141028 DB - PRIME DP - Unbound Medicine ER -