Resection of intra-pulmonary endometriosis by video-assisted thoracoscopic surgery under pre-operative CT-guided marking synchronized with menstrual cycle


A 37-year-old woman experienced repeated catamenial hemoptysis. She had a history of intrauterine curettage. Computed tomography (CT) showed ground glass opacity (GGO) in the right upper lung lobe. We suspected pulmonary endometriosis and scheduled surgery coincides with her menstrual cycle. Then she underwent surgical resection after pre-operative CT-guided marking of the pulmonary endometrial lesion. A yellowish change of the pleura was observed near the marking and the lesion was resected using video-assisted thoracoscopic surgery. Histopathologically, endometrial glands and intimal interstitium were evident. She has no symptoms 2.5 years after surgery. In this case, scheduling the surgery at the time of her menstrual period and video-assisted thoracoscopic surgery (VATS) after CT-guided marking facilitated effective resection.

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  1. 1.

    Ogawa H, Nakayama T, Doi H, Manabe K, Sakaguchi A. A case of pulmonary parenchymal endometriosis. Jpn J Chest Surg. 2005;43:165–70.

    Google Scholar 

  2. 2.

    Ohuchi M, Inoue S, Hanaoka J, Igarashi T, Fujino S, Sawai S, et al. A case of pulmonary endometriosis treated by video-assisted thoracoscopic surgery. Jpn J Chest Surg. 2008;22:86–91.

    Article  Google Scholar 

  3. 3.

    Itoh H, Yoshida S, Ebana R, Kato A, Ito M, Ogawa I. A case of pulmonary endometriosis in adolescence undergoing curative resection with histological confirmation by video-assisted lung resection. Jpn J Chest Surg. 2014;28:937–44.

    Article  Google Scholar 

  4. 4.

    Ueno H, Mukae H, Taniguchi H, Maki H, Ashitani J, Ihi T, et al. Pulmonary endometriosis with recurrent catamenial hemoptysis. Jpn J Thorac Dis. 1995;33:888–93.

    CAS  Google Scholar 

  5. 5.

    Matsumoto K, Sasaki H, Shinozuka M, Tajima T, Yabana H, Hachiya H. A case of pulmonary endometriosis. Obstet Gynecol. 1982;9:1471–7.

    Google Scholar 

  6. 6.

    Miura G, Okita I, Eguchi S, Nakamura H, Moritani K, Higashi Y, et al. A case of bronchial endometriosis. J Jpn Soc Respir Endosc. 1989;11:70–5.

    Google Scholar 

  7. 7.

    Inoue T, Kurokawa Y, Kaiwa Y, Abo M, Takayama T, Ansai M, et al. Video-assisted thoracoscopic surgery for catamenial hemoptysis. Chest. 2001;120:655–8.

    CAS  Article  Google Scholar 

  8. 8.

    Haruki T, Fujioka S, Adachi Y, Miwa K, Taniguchi Y, Nakamura H. Successful video-assisted thoracic surgery for pulmonary endometriosis: report of a case. Surg Today. 2007;37:141–4.

    Article  Google Scholar 

  9. 9.

    Katoh T, Sano M, Iwata M. Pulmonary endometriosis with recurrent catamenial hemoptysis. JJSRE. 2007;29:353–7.

    Google Scholar 

  10. 10.

    Takaishi K, Honda H, Miyoshi J, Tashiro H, Ohba T, Katabuchi H, et al. Two cases of pulmonary endometriosis with pregnancy and childbirth. J Endometr. 2008;29:133–6.

    Google Scholar 

  11. 11.

    Ohshio Y, Asakura S, Ichinose M. Case of cavitary pulmonary endometriosis with catamenial hemoptysis. Asian J Endosc Surg. 2010;34:181–91.

    Google Scholar 

  12. 12.

    Itoh M, Sobajima T. A case of catamenial hemoptysis treated with video-assisted thoracic surgery. Jpn J Chest Dis. 2011;70:1182–5.

    Google Scholar 

  13. 13.

    Furuya K, Otsuka H, Koezuka S, Makino T, Hata Y, Wakayama Y, et al. Resection of pulmonary endometriosis using video-assisted thoracoscopic surgery under preoperative CT-guided marking. Gen Thorac Cardiovasc Surg. 2017;65:175–8.

    Article  Google Scholar 

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Correspondence to Yukitoshi Satoh.

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Matsushima, K., Ono, M., Hayashi, S. et al. Resection of intra-pulmonary endometriosis by video-assisted thoracoscopic surgery under pre-operative CT-guided marking synchronized with menstrual cycle. Gen Thorac Cardiovasc Surg 68, 549–553 (2020).

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  • Intra pulmonary endometriosis
  • Video-assisted thoracoscopic surgery
  • CT-guided marking
  • Menstrual cycle