Pulmonary Endometriosis which Probably Occurred through Hematogenous Metastasis after Artificial Abortion

Pulmonary endometriosis (PEM) is a rare disease characterized by the proliferation of ectopic endometrial tissue in the lungs, which presents as catamenial hemoptysis. A 20-year-old-woman was admitted for repeated hemoptysis. Chest CT revealed a ground-glass opacity that appeared consistently with h...

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Bibliographic Details
Published in:Internal Medicine 2017/06/01, Vol.56(11), pp.1405-1408
Main Authors: Fujimoto, Kazushi, Kasai, Hajime, Suga, Masaki, Sugiura, Toshihiko, Terada, Jiro, Suzuki, Hidemi, Oota, Masayuki, Yoshino, Ichiro, Nakatani, Yukio, Tatsumi, Koichiro
Format: Article
Language:English
Subjects:
Abortion
artificial abortion
Birth control
Case Report
Contraceptives
Endometriosis
Endometrium
Female
hematogenous metastasis
Hemoptysis
Hemoptysis - etiology
Humans
Internal medicine
Lung Diseases - complications
Lung Diseases - diagnosis
Lung Diseases - pathology
Lung Diseases - surgery
Menstrual cycle
Metastases
Metastasis
Opacity
Oral contraceptives
pulmonary endometriosis
Tomography, X-Ray Computed
Uterus
Young Adult
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Summary:Pulmonary endometriosis (PEM) is a rare disease characterized by the proliferation of ectopic endometrial tissue in the lungs, which presents as catamenial hemoptysis. A 20-year-old-woman was admitted for repeated hemoptysis. Chest CT revealed a ground-glass opacity that appeared consistently with her menstrual cycle. Our detailed inquiry revealed a history of artificial abortion, which was followed by the use of oral contraceptives and catamenial hemoptysis after the discontinuation of these medications. Surgical removal was performed and histopathological examinations confirmed PEM. This clinical course suggested hematogenous metastasis. An inquiry regarding the patient's history of uterine procedures and use of oral contraceptives was suggestive for the diagnosis of this disease.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.56.8265