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JYMS : Journal of Yeungnam Medical Science

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Sin-Youl Park 2 Articles
Recurrent hemoptysis in a 26-year-old woman with a ground-glass opacity lesion of the lung
Jong Ha Kim, Sin-Youl Park
Yeungnam Univ J Med. 2020;37(1):59-62.   Published online September 4, 2019
DOI: https://doi.org/10.12701/yujm.2019.00304
  • 7,213 View
  • 112 Download
  • 3 Crossref
AbstractAbstract PDF
Hemoptysis is a major reason for emergency department (ED) visits. Catamenial hemoptysis (CH), a rare condition of thoracic endometriosis, can cause recurrent hemoptysis but is difficult to diagnose in the ED due to the scarcity of cases and nonspecific clinical findings. We report a case of a 26-year-old woman who presented to the ED with recurrent hemoptysis since 2 years without a definite cause. Her vital signs and blood test findings were unremarkable. Chest computed tomography (CT) did not show any specific lesions other than a non-specific ground-glass opacity pattern in her right lung. She was on day 4 of her menstrual cycle and her hemoptysis frequently occurred during menstruation. Although there was no histological confirmation, based on her history of hemoptysis during menstruation and no other cause of the hemoptysis, the patient was tentatively diagnosed with CH and was administered gonadotropin-releasing hormone. She had no recurrence of hemoptysis for 3 months. While CH is difficult to diagnose in the ED, the patient’s recurrent hemoptysis related to menstruation was a clue to the presence of CH. Therefore, physicians should determine the relationship between hemoptysis and menstruation for women of childbearing age presenting with repeated hemoptysis without a definite cause.

Citations

Citations to this article as recorded by  
  • Thoracic Endometriosis: A Review Comparing 480 Patients Based on Catamenial and Noncatamenial Symptoms
    Nura Fitnat Topbas Selcuki, Salih Yilmaz, Cihan Kaya, Taner Usta, Ahmet Kale, Engin Oral
    Journal of Minimally Invasive Gynecology.2022; 29(1): 41.     CrossRef
  • Characteristics and Outcomes of a Sample of Patients With COVID-19 Identified Through Social Media in Wuhan, China: Observational Study
    Dong Liu, Yuyan Wang, Juan Wang, Jue Liu, Yongjie Yue, Wenjun Liu, Fuhai Zhang, Ziping Wang
    Journal of Medical Internet Research.2020; 22(8): e20108.     CrossRef
  • Cyclical Hemoptysis and Pelvic Pain in a Young Female: A Sign of Thoracic Endometriosis Syndrome
    Areeg Bala, Raghda A Salim, Smit Deliwala, Michele Obeid, Ghassan Bachuwa
    Cureus.2020;[Epub]     CrossRef
Ultrasonographic findings in Fitz-Hugh-Curtis syndrome: a thickened or three-layer hepatic capsule
You Ho Moon, Jung ho Kim, Won joon Jeong, Sin-Youl Park
Yeungnam Univ J Med. 2018;35(1):127-129.   Published online June 30, 2018
DOI: https://doi.org/10.12701/yujm.2018.35.1.127
  • 5,735 View
  • 58 Download
  • 1 Crossref
AbstractAbstract PDF
Fitz-Hugh-Curtis syndrome (FHCS) is characterized by inflammation of the perihepatic capsules associated with the pelvic inflammatory disease (PID). FHCS is not a serious disease, but if not treated properly, it can result in increased medical costs, prolonged treatment, and dissatisfaction with treatment. However, early recognition of FHCS in the emergency department can be difficult because its symptoms or physical findings may mimic many other diseases. Although contrast-enhanced computed tomography (CECT) is the useful imaging modality for recognition of FHCS, it is available only when a high suspicion is established. We performed point-of-care ultrasonography in an 18-year-old woman who had a sharp right upper quadrant (RUQ) abdominal pain without PID symptoms and found a thickened or three-layer hepatic capsule. These findings coincided with areas showing increased hepatic capsular enhancement in the arterial phase of CECT. These results show that if the thickened or three-layer hepatic capsule without evidence of a common cause of RUQ pain is observed on ultrasonography in women of childbearing age with RUQ abdominal pain, the physician can consider the possibility of FHCS.

Citations

Citations to this article as recorded by  
  • Analysis of Misdiagnosis of FHCS Syndrome as Cholecystitis and Literature Review
    旭旗 申
    Advances in Clinical Medicine.2022; 12(06): 5608.     CrossRef

JYMS : Journal of Yeungnam Medical Science