Postcoital Haemoptysis: A Case Report and a Review of the Literature

Haemoptysis is rarely reported following coitus, and cardiac decompensation has been mostly implicated in the aetiology. We present a 53-year-old Nigerian, known hypertensive diabetic woman with background ischaemic heart disease who presented with postcoital haemoptysis of one-year duration. Echocardiography revealed combined ischaemic and mitral valvular heart disease, probably of rheumatic aetiology. There has been no previous report in an African population. This case illustrates the need to rule out coitus as a rare but potential cause of haemoptysis in middle aged patients with underlying cardiac pathologies and the need for an extensive cardiac workup in a population with predominantly pulmonary causes of haemoptysis

Thoracic endometriosis syndrome: Current concept in pathophysiology and management

Background: Thoracic endometriosis is a rare pathology. The diagnosis is often delayed or missed, however recently, there has been significant advances in the knowledge of this condition and hence, an improvement in the diagnosis and treatment.Objective: To review the current concepts in the pathophysiology and management of thoracic endometriosis syndrome.Methodology: The main source of information included manual library search and journal publications on PubMed/Medline, Google Scholar, and EMBASE.Results: Many theories have been proposed to explain thoracic endometriosis syndrome, but none of them can fully explain the different manifestations of thoracic endometriosis syndrome (TES) which include catamenial pneumothorax, catamenial haemothorax, catamenial haemoptysis, pulmonary nodule, catamenial pneumomediastinum and isolated chest pain. Radiologic and endoscopic modalities are necessary for making a diagnosis, in addition to a high index of suspicion. Medical treatment traditionally involves the use of oral contraceptive pills, progestational agents, danazol and gonadotrophin releasing hormone analogues. Surgical treatment involves the use of video-assisted thoracoscopy (VAT) or thoracotomy. Conclusion: A multidisciplinary approach is recommended for the optimal  management of TES. Keywords: Catamenial pneumothorax, catamenial  haemoptysis, catamenial haemothorax, pulmonary nodul