Resection of Pulmonary Endometriosis by Video-Assisted Thoracoscopic Surgery Using Bronchoscopy as a Preoperative Strategy.

Marques, Vlaudimir Dias; de Mattos, Leandro Accardo; Pimenta, Alex Moisés; Pelloso, Sandra Marisa; Bandeira, César Orlando Peralta; Lemos, Maurício Medeiros; Moraes, Weber Alexandre Sobreira; Carvalho, Maria Dalva de Barros · Ann Thorac Surg · 2020

case_report · Level V

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Abstract

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.

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