Catamenial Hemoptysis and Pneumothoraces in a Patient with Cystic Fibrosis

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...

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Main Authors: Chris M Parker, Robert Nolan, M Diane Lougheed
Format: Article
Language:English
Published: Wiley 2007-01-01
Series:Canadian Respiratory Journal
Online Access:http://dx.doi.org/10.1155/2007/141028
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author Chris M Parker
Robert Nolan
M Diane Lougheed
author_facet Chris M Parker
Robert Nolan
M Diane Lougheed
author_sort Chris M Parker
collection DOAJ
description 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 bronchosopic 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.
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spelling doaj-art-6d7c9505a2974d70aabc4b28660c66282025-02-03T06:06:51ZengWileyCanadian Respiratory Journal1198-22412007-01-0114529529710.1155/2007/141028Catamenial Hemoptysis and Pneumothoraces in a Patient with Cystic FibrosisChris M Parker0Robert Nolan1M Diane Lougheed2Department of Medicine, Queen’s University, Kingston, Ontario, CanadaDepartment of Radiology, Queen’s University, Kingston, Ontario, CanadaDepartment of Medicine, Queen’s University, Kingston, Ontario, CanadaHemoptysis 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 bronchosopic 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.http://dx.doi.org/10.1155/2007/141028
spellingShingle Chris M Parker
Robert Nolan
M Diane Lougheed
Catamenial Hemoptysis and Pneumothoraces in a Patient with Cystic Fibrosis
Canadian Respiratory Journal
title Catamenial Hemoptysis and Pneumothoraces in a Patient with Cystic Fibrosis
title_full Catamenial Hemoptysis and Pneumothoraces in a Patient with Cystic Fibrosis
title_fullStr Catamenial Hemoptysis and Pneumothoraces in a Patient with Cystic Fibrosis
title_full_unstemmed Catamenial Hemoptysis and Pneumothoraces in a Patient with Cystic Fibrosis
title_short Catamenial Hemoptysis and Pneumothoraces in a Patient with Cystic Fibrosis
title_sort catamenial hemoptysis and pneumothoraces in a patient with cystic fibrosis
url http://dx.doi.org/10.1155/2007/141028
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AT robertnolan catamenialhemoptysisandpneumothoracesinapatientwithcysticfibrosis
AT mdianelougheed catamenialhemoptysisandpneumothoracesinapatientwithcysticfibrosis