Endometriotic lung cyst causing catamenial hemoptysis; a case report and review of literature. Issue 6 (2nd November 2022)

• Record Type: Journal Article
• Authors: Verhulst, Evelyne; Bafort, Celine; Tomassetti, Carla; Wolthuis, Albert; Bielen, Didier; Coolen, Johan; Weynand, Birgit; Platteeuw, Lieven; Meuleman, Christel; Van Raemdonck, Dirk
• Is Part Of: Acta chirurgica belgica. Volume 122:Issue 6(2022)
• Page Start: 432
• Page End: 437
• Publication Date: 2022-11-02
• Subjects: Catamenial -- lung cyst -- endometriosis -- hemoptysis -- thoracic; Surgery -- Periodicals; General Surgery; Chirurgie -- Périodiques; Surgery; Chirurgie (geneeskunde); Periodicals; Periodicals; 617.005
• DOI: 10.1080/00015458.2021.1887556
• Languages: English
• ISSNs: 0001-5458

Abstract

Abstract: We report a rare case of an endometriotic lung cyst in a 47-year woman with recurrent catamenial hemoptysis. Chest computed tomography (CT) obtained outside the menstruation in October 2019 revealed a cystic lesion (2.5 cm) located in the right inferior lobe near the distal esophagus and the inferior pulmonary vein. Compared to CT abdomen in May 2019, this lesion had increased with a larger volume and a thicker wall. An endometrial lung cyst was suspected as episodes of hemoptysis no longer occurred after initiating hormonal treatment with nomegestrol acetate. Exploratory video-assisted thoracoscopic surgery with wedge resection of the cyst was performed. Histopathologic examination confirmed the diagnosis of an endometriotic cystic lesion. Postoperative course was uneventful with no further symptoms since then.