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Abstract
Case Report
A case of rare site endometriosis successfully treated by GnRH analogues
Tsutomu Kobayashia Hiroto Matsuseb Daiki Ogawarac Kazuhiro Ohshimac Yoshifumi Soejimaa Shigeru Kohnod
aDepartment of Internal Medicine, Sasebo Chuo Hospital
bDivision of Respirology, Toho University Ohashi Medical Center
cDepartment of Respiratory Diseases, Nagasaki University Graduate School of Biomedical Sciences
dNagasaki University
ABSTRACT
A 22-year-old female visited our hospital as a result of catamenial hemoptysis. Bronchoscopic findings immediately after hemoptysis showed blueberry spots on the trachea and the right main bronchus. Because bronchoalveolar lavage fluid contained hemosiderin-laden macrophages, she was diagnosed as extensive rare-site endometriosis. Since the pathological lesions were distributed extensively in both lungs, she was treated with GnRH analogue (leuprorelin acetate) six times instead of surgical resection. After treatment, bronchoscopic findings became normal, and her catamenial hemoptysis had not recurred. Clinicians should be aware of this possibility as a differential diagnosis of hemoptysis of young women.
KEYWORDS
Rare site endometriosis Blueberry spot Gonadotropin-releasing hormone analogue Leuprorelin acetate
Received 26 Dec 2014 ／ Accepted 7 Sep 2015
AJRS, 5(1): 52-56, 2016
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