Endometriosis pulmonar parenquimal / Parenchymal pulmonary endometriosis

RESUMEN

Paciente con hemoptisis a repetición sincrónica con el periodo menstrual. La radiografía y tomografía de tórax fueron normales. La fibrobroncoscopía solo mostró sangrado proveniente del lóbulo superior derecho, de donde se tomaron muestras de biopsia, lavado y cepillado broncoalveolar. El estudio histológico mostró tejido endometrial compatible con endometriosis pulmonar parenquimal. Se trató con un agonista de GnRH (danazol), con control de la hemoptisis. Seis meses más tarde, la paciente se encontraba asintomática.

ABSTRACT

A patient with recurrent hemoptysis which was synchronous with the menstrual period. The chest X-ray and thoracic CT scan were normal. A bronchoscopy only showed evidence of bleeding from the right upper lobe, where samples were taken for biopsy, bronchoalveolar lavage and brushing. The hystological study showed endometrial tissue compatible with parenchymal pulmonary endometriosis. It was treated with an GnRH agonist (danazol), with control of hemoptysis. Six months later, the patient was asymptomatic.