Department of Thoracic and Cardiovascular Surgery, Pusan National University Yangsan Hospital, Pusan National University College of Medicine, 20, Geumo-ro, Mulgeum-eup, Yangsan-si, Gyeongsangnam-do, 50612, South Korea.
Department of Thoracic and Cardiovascular Surgery, Busan Medical Center, Busan, South Korea.
Gen Thorac Cardiovasc Surg. 2021 Mar;69(3):568-571. doi: 10.1007/s11748-020-01497-x. Epub 2020 Sep 28.
Catamenial hemoptysis is a rare condition. A 28-year-old woman presented with a 1-year history of repetitive hemoptysis occurring on the first day of her menstrual period. Chest computed tomography revealed catamenial hemoptysis during her menstrual period. The patient underwent single-incision thoracoscopic left S9 + 10 segmentectomy using indocyanine green injection-assisted targeting. The endometriosis lesions would not be enhanced by perfusion defects during ICG injection due to the lung contusion. Surgical resection with accurate localization of catamenial hemoptysis was a fundamental treatment method. The localization of lesions using indocyanine green effectively enabled a minimally invasive surgery.
月经性咯血较为罕见。一位 28 岁的女性因月经第一天反复咯血 1 年就诊。胸部 CT 显示月经期出现月经性咯血。患者行经单孔胸腔镜左肺 S9+10 段切除术，术中采用吲哚菁绿（ICG）注射辅助定位。ICG 注射时由于肺挫伤，内异症病灶不会因灌注缺损而增强。手术切除并准确定位月经性咯血是基本的治疗方法。ICG 有助于准确定位病变，从而实现微创治疗。
