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.
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Recurrent catamenial hemoptysis: diagnostic challenges and management strategies—a case report Ashok P. Arbat, Gauri Gadge, Sweta R. Chourasia, Parimal S. Deshpande, Swapnil I. Bakamwar The Egyptian Journal of Bronchology.2024;[Epub] CrossRef
Catamenial Hemoptysis: A Case Report and Literature Review Hasan Emre Yıldırım, Hasan Ekrem Çamaş, Süleyman Emre Akın, Rasih Yazkan SDÜ Tıp Fakültesi Dergisi.2024;[Epub] CrossRef
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