폐절제술로 치료한 폐 자궁내막증

저자들은 반복적인 객혈을 주소로 내원한 환자에서 월경성 객혈로 진단 후, 비디오 흉강경 수술로 치료한 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Periodic hemoptysis occurring at the time of menstruation (catamenial hemoptysis) is a rare disorder and generally signifies indicates the presence of thoracic endometriosis. A diagnosis of catamenial hemoptysis is usually established based on the clinical history and the exlusion of other causes of the recurrent hemoptysis. Serial computed tomograms of the chest during and in the interval between menstruations periods is a useful confirmatory test. We report the case of a 22 year-old women who suffered from catamenial hemoptysis for 10 months and was treated successfully with a wedge resection of the lesion by video-assisted thoracoscopic surgery(VATS). There was no evidence of recurrence. In conclusion. VATS is a good choice as a for single focus for catamenial hemoptysis. (Tuberc Respir Dis 2006; 61: 394-397)