Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Pulmonary Endometriosis which Probably Occurred through Hematogenous Metastasis after Artificial Abortion
Kazushi FujimotoHajime KasaiMasaki SugaToshihiko SugiuraJiro TeradaHidemi SuzukiMasayuki OotaIchiro YoshinoYukio NakataniKoichiro Tatsumi
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JOURNALS OPEN ACCESS

2017 Volume 56 Issue 11 Pages 1405-1408

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Abstract

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.

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© 2017 by The Japanese Society of Internal Medicine
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