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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Wiley
2007-01-01
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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. |
format | Article |
id | doaj-art-6d7c9505a2974d70aabc4b28660c6628 |
institution | Kabale University |
issn | 1198-2241 |
language | English |
publishDate | 2007-01-01 |
publisher | Wiley |
record_format | Article |
series | Canadian Respiratory Journal |
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 |
work_keys_str_mv | AT chrismparker catamenialhemoptysisandpneumothoracesinapatientwithcysticfibrosis AT robertnolan catamenialhemoptysisandpneumothoracesinapatientwithcysticfibrosis AT mdianelougheed catamenialhemoptysisandpneumothoracesinapatientwithcysticfibrosis |