Publication: Thoracic endometriosis with catamenial haemoptysis and pneumothorax: Computed tomography findings and long-term follow-up after danazol treatment
Issued Date
2015-01-01
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ISSN
00375675
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2-s2.0-84937564821
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Mahidol University
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SCOPUS
Bibliographic Citation
Singapore Medical Journal. Vol.56, No.7 (2015), e120-e123
Suggested Citation
Thitiporn Suwatanapongched, Viboon Boonsarngsuk, Naparat Amornputtisathaporn, Paisan Leelachaikul Thoracic endometriosis with catamenial haemoptysis and pneumothorax: Computed tomography findings and long-term follow-up after danazol treatment. Singapore Medical Journal. Vol.56, No.7 (2015), e120-e123. doi:10.11622/smedj.2015115 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/36700
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Title
Thoracic endometriosis with catamenial haemoptysis and pneumothorax: Computed tomography findings and long-term follow-up after danazol treatment
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Abstract
© 2015, Singapore Medical Association. All rights reserved. Thoracic endometriosis (TE) is an uncommon disorder affecting women of childbearing age. We herein report clinical and thin-section computed tomography (CT) findings of two cases, in which one woman presented with catamenial haemoptysis (CH) alone and another woman presented with bilateral catamenial pneumothoraces (CP) coinciding with CH, a rare manifestation of TE. The dynamic changes demonstrated on thin-section chest CT performed during and after menses led to accurate localisation and presumptive diagnosis of TE in both patients. Following danazol treatment, the patient with CH alone had a complete cure, while the patient with CP and CH had an incomplete cure and required long-term danazol treatment. We discuss the role of imaging studies in TE, with an emphasis on the appropriate timing and scanning technique of chest CT in women presenting with CH, potential mechanisms, treatment and patient outcomes.