Postgraduate Program in Health Sciences, Universidade Estadual de Maringá, Maringá, Paraná, Brazil.
Department of Imaging Diagnosis, Escola Paulista de Medicina da Universidade Federal de São Paulo (EPM-Unifesp), São Paulo, Brazil.
Ann Thorac Surg. 2020 Nov;110(5):e391-e393. doi: 10.1016/j.athoracsur.2020.03.074. Epub 2020 Apr 27.
The presence of parenchymal or intrabronchial endometrial tissue is rare and has been reported in <6% of women of childbearing age with thoracic endometriosis. Hemoptysis during the menstrual cycle is the most common clinical presentation. We report a case of pulmonary endometriosis, treated concurrently with the patient's menstrual period, with wedge resection by video-assisted thoracoscopic surgery. Bronchoscopy, immediately before the start of the surgical procedure, allowed us to identify the pulmonary segment that had active bleeding, which made the surgical procedure feasible.
肺内子宫内膜组织的存在较为罕见，<6%的有生育能力的女性胸内子宫内膜异位症患者有此表现。月经周期中咯血是最常见的临床表现。我们报告了 1 例肺子宫内膜异位症病例，该患者在月经期间接受了电视辅助胸腔镜手术楔形切除术治疗。支气管镜检查，在手术开始前，使我们能够识别出有活动性出血的肺段，这使得手术成为可能。
