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General Thoracic and Cardiovascular Surgery

01-05-2020 | Computed Tomography | Case Report

Resection of intra-pulmonary endometriosis by video-assisted thoracoscopic surgery under pre-operative CT-guided marking synchronized with menstrual cycle

Authors: Keigo Matsushima, Mototsugu Ono, Shoko Hayashi, Dai Sonoda, Yoshio Matsui, Kazu Shiomi, Yukitoshi Satoh, Makoto Ohbu

Published in: General Thoracic and Cardiovascular Surgery | Issue 5/2020

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Abstract

A 37-year-old woman experienced repeated catamenial hemoptysis. She had a history of intrauterine curettage. Computed tomography (CT) showed ground glass opacity (GGO) in the right upper lung lobe. We suspected pulmonary endometriosis and scheduled surgery coincides with her menstrual cycle. Then she underwent surgical resection after pre-operative CT-guided marking of the pulmonary endometrial lesion. A yellowish change of the pleura was observed near the marking and the lesion was resected using video-assisted thoracoscopic surgery. Histopathologically, endometrial glands and intimal interstitium were evident. She has no symptoms 2.5 years after surgery. In this case, scheduling the surgery at the time of her menstrual period and video-assisted thoracoscopic surgery (VATS) after CT-guided marking facilitated effective resection.
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Metadata
Title
Resection of intra-pulmonary endometriosis by video-assisted thoracoscopic surgery under pre-operative CT-guided marking synchronized with menstrual cycle
Authors
Keigo Matsushima
Mototsugu Ono
Shoko Hayashi
Dai Sonoda
Yoshio Matsui
Kazu Shiomi
Yukitoshi Satoh
Makoto Ohbu
Publication date
01-05-2020
Publisher
Springer Singapore
Published in
General Thoracic and Cardiovascular Surgery / Issue 5/2020
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI
https://doi.org/10.1007/s11748-019-01175-7