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Weekly Chest CasesArchive of Old Cases

Case No : 861 Date 2014-04-28

  • Courtesy of Eun Young Kim, Yoon Kyung Kim, Yon Mi Sung / Gachon University Gil Hospital
  • Age/Sex 31 / F
  • Chief ComplaintIntermittent hemoptysis (onset: 1 year ago)
  • Figure 1
  • Figure 2

Diagnosis With Brief Discussion

Diagnosis
Pulmonary endometriosis (Catamenial hemoptysis)
Radiologic Findings
Chest radiograph shows an air-fluid level containing nodule in Rt basal lung. CT shows a 2.2cm cavitary nodule with surrounding ground glass opacity in the right lower lobe.

Op finding(right lower lobe, wedge resection): subpleural mass with peripheral black pigmentation
Brief Review
* Thoracic endometriosis may involve the trachea, bronchi, lung parenchyma, pleura or the diaphragm.
* Pleural and diaphragmatic endometriosis usually causes chest pain and dyspnea, and may be associated with pneumothorax, pleural effusion or hemothorax, whereas the tracheobronchial and parenchymal disease may present with periodic hemoptysis simultaneous with their menses.
* The radiological findings for catamenial hemoptysis are often normal, but they can show single or multiple nodules, thin-walled cavitary lesions, consolidations displaying cyclic changes in size as a presentation of the menstrual hemorrhage in the adjacent alveolar spaces.
References
1. Lee, C.H., et al., Thoracic endometriosis; rare presentation as a solitary pulmonary nodule with eccentric cavitations. Thorax, 2009:64(10);919-20
2.Chung, S.Y., et al., Computed tomography findings of pathologically confirmed pulmonary parenchymal endometriosis. J Comput Assist Tomogr 2005:29(6):815-8


Keywords
Lung, Benign tumor,

No. of Applicants : 94

▶ Correct Answer : 37/94,  39.4%
  • - Shiga University of Medical Science , Japan Akitoshi Inoue
  • - Niigata City General Hospital , Japan Takao Kiguchi
  • - Samsung medical center , Korea (South) MOON YOUNG KIM
  • - Oita University, Faculty of Medicine , Japan Fumito Okada
  • - Dongnam Institute of Radiological and Medical Sciences , Korea (South) Dae-Wook Yeh
  • - University of British Columbia , Canada Amr Ajlan
  • - Asan medical center , Korea (South) yoonyoung choi
  • - Veterans Affairs Medical Center , United States Gunjan Aeron
  • - Scans world , India Philson Mukkada
  • - Hopital Bichat , France, Metropolitan Pauline Pradere
  • - Kyoto University , Japan Akihiko Sakata
  • - district tuberculosis centre,poonamallee , India gayathri ganesh
  • - Ewha Womans University Hospital , Korea (South) YOOKYUNG KIM
  • - Asan Medical Center, Ulsan University , Korea (South) Mi Young Kim
  • - Hallym University Kangnam Sacred Heart Hospital , Korea (South) Jung Youn Kim
  • - Gachon Gil hospital , Korea (South) junhyung Ann
  • - Joeun Kumgang hospital , Korea (South) ji eun seok
  • - The University of Tokyo Hospital , Japan Takeyuki Watadani
  • - CMC , Korea (South) Soh Yong Jeong
  • - IRSA La Rochelle , France Denis Chabassiere
  • - SNUH , Korea (South) Eui Jin Hwang
  • - Kizawa Memorial Hospital , Japan Yo Kaneko
  • - chungbuk national university hospital , Korea (South) jeehye kim
  • - 異⑸ , China ZHANG YING
  • - 異⑸ , Korea (South) Yunhee Jang
  • - 異⑸ , Korea (South) sooncheul baek
  • - chungbuk national university hospital , Korea (South) soojung lee
  • - Chosun university hospital , Korea (South) Hyungwoo Oh
  • - Hanyang universitiy, radiology department , Korea (South) HyunGyu Lee
  • - Saint Malo , France jean-baptiste Noel
  • - Chungbuk national university , Korea (South) Yong Kim
  • - IRSA LA ROCHELLE , France, Metropolitan BIGOT
  • - chp st martin , France Mariotte benoit
  • - Oita University , Japan Haruka Sato
  • - 異⑸ , Korea (South) Junghwan Kim
  • - Medicheck health care , Korea (South) Chae Lim
  • - Chonnam National University Hospital , Korea (South) Sungmin Moon
▶ Correct Answer as Differential Diagnosis : 12/94,  12.8%
  • - Seoul National University Hospital , Korea (South) Sang Min Lee
  • - the First Affiliated Hospital of NanJing Medical University , China Aiping Chen
  • - Deptt of Radiodiagnosis & Imaging, PGIMER chandigarh , India Ram Galwa
  • - National Hospital Organization Okinawa Hospital , Japan Yasuji Oshiro
  • - Seoul National University Gangnam Center , Korea (South) Hua Sun Kim
  • - jaslok hospital & research centre mumbai , India JAINENDRA JAIN
  • - GHICL , France manuel toledano
  • - Onomichi municipal hospital , Japan Hirofumi Mifune
  • - Onomichi Municipal Hospital , Japan Yoshihisa Masaoka
  • - Mallinckrodt Institute of Radiology , United States Naganathan Mani
  • - Khoo Teck Phuat Hospital Singapore , Singapore ashish chawla
  • - TCM HOSPITAL OF ZIGONG , China Cao Cunyou
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