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BACKGROUND Lung endometriosis is an extremely rare gynecological disease. Current literature reports suggest that the majority of patients will present with only generic symptoms, such as hemoptysis, pneumothorax, and hemopneumothorax, which often leads to misdiagnosis. To date, there are 18 case reports of lung endometriosis that describe the clinical manifestation, imaging changes, treatment, and prognosis of the disease. To provide further insights into this rare disease, we present a new case report and a brief review of pulmonary endometriosis. CASE SUMMARY We report here about a 19-year-old woman who was admitted to the hospital for repeated catamenial hemoptysis over a 3-mo period. computed tomography (CT) imaging during menstruation revealed patchy high-density shadows, approximately 0.5 cm 3 in size, in the right middle lobe of the lung. The patient’s hemoptysis and changes in the CT scans resolved after menstruation. Thoracoscopic right middle lobectomy, right lower lung repair, and closed thoracic drainage were performed. Postoperative histopathology confirmed lung endometriosis. There was no recurrence of symptoms at the 6 mo follow-up. CONCLUSION We propose diagnosing lung endometriosis by thoroughly taking reproductive history, clinical details, imaging, and histopathology followed by treatment with surgical resection.
BACKGROUND Lung endometriosis is an extremely rare gynecological disease. Current literature reports suggest that the majority of patients will present with only generic symptoms, such as hemoptysis, pneumothorax, and hemopneumothorax, which often leads to misdiagnosis. To date, there are 18 case reports of lung endometriosis that describe the clinical manifestation, imaging changes, treatment, and prognosis of the disease. To provide further insights into this rare disease, we present a new case report and a brief review of pulmonary endometriosis. CASE SUMMARY We report here about a 19-year-old woman who was admitted to the hospital for repeated catamenial hemoptysis over a 3-mo period. computed tomography (CT) imaging during menstruation revealed patchy high-density shadows, approximately 0.5 cm 3 in size, in the right middle lobe of the lung. The patient’s hemoptysis and changes in the CT scans resolved after menstruation. Thoracoscopic right middle lobectomy, right lower lung repair, and closed thoracic drainage were performed. Postoperative histopathology confirmed lung endometriosis. There was no recurrence of symptoms at the 6 mo follow-up. CONCLUSION We propose diagnosing lung endometriosis by thoroughly taking reproductive history, clinical details, imaging, and histopathology followed by treatment with surgical resection.
Introdução: A endometriose é uma doença crônica inflamatória, multifatorial e complexa. Objetivo: Analisar o perfil sociodemográfico e do estilo de vida de mulheres com endometriose. Método: Trata-se de um estudo descritivo exploratório quantitativo, envolvendo mulheres que participaram de uma intervenção educativa, baseada no estímulo à adoção de hábitos saudáveis. Participaram do estudo 41 mulheres que responderam ao Questionário Oito Remédios Naturais (Q8RN) antes da intervenção. A análise estatística descritiva foi conduzida com o programa R. Resultados: Houve predomínio da faixa etária entre 36 e 45 anos (38%), sendo a maior parte das mulheres casadas (80%), evangélicas (89%), brancas (63%) e pós-graduadas (37%). Entre as demais doenças referidas, destacaram-se ansiedade (32%), depressão (18%) e obesidade (13%). A saúde física, a saúde mental e a qualidade de vida foram autopercebidas como regulares (46%, 37% e 37%, respectivamente). Elas apresentaram um bom estilo de vida, com escore total médio de 55 pontos e destaque para o domínio da “temperança e confiança em Deus”, que ficou bastante acima da média, contrastando com o domínio “exercício físico”, que ficou abaixo da média. Conclusão: Embora o perfil de estilo de vida das mulheres tenha se apresentado como bom, a presença de outras doenças referidas possivelmente é reflexo do baixo escore apresentado no domínio do exercício físico, bem como suas percepções de saúde física, saúde mental e qualidade de vida, referidas como regulares pela maioria das mulheres
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