Journal of Yeungnam Medical Science

Case report

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

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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

Case Report

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

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Abstract 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

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