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Thoracic endometriosis with catamenial haemoptysis and pneumothorax: computed tomography findings and long-term follow-up after danazol treatment.
Singapore Med J 2015; 56(7):e120-3SM

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.

Authors+Show Affiliations

Division of Diagnostic Radiology, Department of Diagnostic and Therapeutic Radiology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.Division of Pulmonary and Critical Care, Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.Division of Pulmonary and Critical Care, Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.Department of Pathology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

26243981

Citation

Suwatanapongched, Thitiporn, et al. "Thoracic Endometriosis With Catamenial Haemoptysis and Pneumothorax: Computed Tomography Findings and Long-term Follow-up After Danazol Treatment." Singapore Medical Journal, vol. 56, no. 7, 2015, pp. e120-3.
Suwatanapongched T, Boonsarngsuk V, Amornputtisathaporn N, et al. Thoracic endometriosis with catamenial haemoptysis and pneumothorax: computed tomography findings and long-term follow-up after danazol treatment. Singapore Med J. 2015;56(7):e120-3.
Suwatanapongched, T., Boonsarngsuk, V., Amornputtisathaporn, N., & Leelachaikul, P. (2015). Thoracic endometriosis with catamenial haemoptysis and pneumothorax: computed tomography findings and long-term follow-up after danazol treatment. Singapore Medical Journal, 56(7), pp. e120-3. doi:10.11622/smedj.2015115.
Suwatanapongched T, et al. Thoracic Endometriosis With Catamenial Haemoptysis and Pneumothorax: Computed Tomography Findings and Long-term Follow-up After Danazol Treatment. Singapore Med J. 2015;56(7):e120-3. PubMed PMID: 26243981.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Thoracic endometriosis with catamenial haemoptysis and pneumothorax: computed tomography findings and long-term follow-up after danazol treatment. AU - Suwatanapongched,Thitiporn, AU - Boonsarngsuk,Viboon, AU - Amornputtisathaporn,Naparat, AU - Leelachaikul,Paisan, PY - 2015/8/6/entrez PY - 2015/8/6/pubmed PY - 2016/12/15/medline KW - catamenial haemoptysis KW - catamenial pneumothorax KW - pleural endometriosis KW - pulmonary endometriosis KW - thoracic endometriosis SP - e120 EP - 3 JF - Singapore medical journal JO - Singapore Med J VL - 56 IS - 7 N2 - 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. SN - 0037-5675 UR - https://www.unboundmedicine.com/medline/citation/26243981/Thoracic_endometriosis_with_catamenial_haemoptysis_and_pneumothorax:_computed_tomography_findings_and_long_term_follow_up_after_danazol_treatment_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/26243981/ DB - PRIME DP - Unbound Medicine ER -