Thoracic endometriosis syndrome: CT and MRI features

Rousset, Pascal; Rousset‐Jablonski, Christine; Alifano, Marco; Lupo, Audrey; Buy, Jean Noël; Revel, Marie‐Pierre

doi:10.1016/j.crad.2013.10.014

Cited by 103 publications

(115 citation statements)

References 25 publications

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“…Ca 125 level can also be elevated in those patients but this measure has low sensitivy and specificity. 15,16 Initial treatment for pleural endometriosis associated with pleural effusion consists in urgent thoracic drainage. Significative hemorrhage is rare in patients with endometriosis, however, if more than 20mL/kg is drained, urgent thoracotomy and segmentectomy of the endometrial implants must be performed.…”

Section: Discussionmentioning

confidence: 99%

Pleural Endometriosis Associated with Catamenial Hemothorax: A Case Report

Lopes¹,

Damasio²,

Baracat³

et al. 2017

MOJWH

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Pleural endometriosis is a rare condition that leads to anxiety and suffering on affected patients. We suspect of pleural endometriosis when pulmonary symptoms are associated with the menstrual cycle. We report a case of a 40year-old nulligravid patient who presented dispnea and thoracic pain during menstruation. The diagnosis was confirmed based on biopsy performed during exploratory thoractomy procedure.

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Section: Discussionmentioning

confidence: 99%

Pleural Endometriosis Associated with Catamenial Hemothorax: A Case Report

Lopes¹,

Damasio²,

Baracat³

et al. 2017

MOJWH

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“…(d) Lymphatic or hematogenous microembolization theory is supported by histopathologic evidence of endovascular endometrial epithelium, and uterine surgical procedures are considered as risk factors (6). (e) A recent theory is based on the stimulation of local immune factors (6). Moreover, spread to distant site may occur iatrogenically during surgery or needle biopsy (5).…”

Section: Pathogenesismentioning

confidence: 99%

“…Pathogenesis of endometriosis is probably multifactorial, and several theories have been suggested: (a) The metastatic theory, supported by the thesis of retrograde menstruation through the fallopian tubes, holds that endometrial cells migrate in the abdominal cavity following the clockwise peritoneal circulation, causing ectopic implantations on the serosal surface and remaining viable (3)(4)(5)(6). This theory is the most widely accepted explanation for diaphragmatic and pleural localizations of endometriosis.…”

Section: Pathogenesismentioning

confidence: 99%

“…(c) Induction theory is a combination of the first two theories and states that endometrium could release factors that influence undifferentiated mesenchyme to form endometriosis accumulation (3). (d) Lymphatic or hematogenous microembolization theory is supported by histopathologic evidence of endovascular endometrial epithelium, and uterine surgical procedures are considered as risk factors (6). (e) A recent theory is based on the stimulation of local immune factors (6).…”

Section: Pathogenesismentioning

confidence: 99%

“…This theory is the most widely accepted explanation for diaphragmatic and pleural localizations of endometriosis. (b) Coelomic-metaplastic theory, supported by the knowledge that endometrial, pleural, and peritoneal cells stem from coelomic wall-epithelium, states that endometriosis develops from metaplastic differentiation of these cells into functioning endometrial cells following pathologic stimuli (4)(5)(6). (c) Induction theory is a combination of the first two theories and states that endometrium could release factors that influence undifferentiated mesenchyme to form endometriosis accumulation (3).…”

Section: Pathogenesismentioning

confidence: 99%

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Shining light in a dark landscape: MRI evaluation of unusual localization of endometriosis

Gui¹,

Valentini²,

Ninivaggi³

et al. 2017

Diagn Interv Radiol

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Endometriosis is a systemic disease that affects about 10% to 20% of women during their reproductive age, characterized by the presence of endometrial glands and stroma outside the uterine cavity (1). Endometriosis lesions are characterized by intralesional recurrent bleeding during menses, because of the hormonal responsiveness of ectopic endometrial tissue, with resulting fibrosis. Typical symptoms are cyclic or chronic pelvic pain, dysmenorrhea, dyspareunia, and pain during defecation or urinating. Unusual endometriosis localizations may be associated with more specific symptoms depending on the site of the localization. According to Siegelmen et al. (2) there are three forms of pelvic endometriosis: (a) superficial peritoneal lesions; (b) ovarian endometrioma; (c) deep (or solid infiltrating) endometriosis (DIE), which is histologically identified as a lesion that extends more than 5 mm into the subperitoneal space and/or affects the wall of organs in the pelvis and ligaments. In superficial endometriosis, superficial plaques are disseminated across the peritoneum, adnexa and ligaments of the uterus; these noninvasive implants are well recognized at laparoscopy and not often detectable with magnetic resonance imaging (MRI). Laparoscopy is the standard of reference for the diagnosis of endometriosis but nodules covered by adhesions and subperitoneal disease are difficult to study. Pouch of Douglas, uterosacral ligaments, torus uterinus, and bowel are the most frequent sites of deep pelvic endometriosis localization. Atypical pelvic localizations of endometriosis can occur at level of the cervix, vagina, round ligaments, ureter, and nerves. Rare extrapelvic endometriosis implants can also be localized in the upper abdomen, subphrenic fold, or subcutaneous fat tissue of the abdominal wall. The focus of this review is to describe atypical pelvic and abdominal localizations of endometriosis that should be known by radiologists in order to correctly identify and characterize these lesions on MRI. Moreover, we describe the MRI appearance of the implants at specific sites and review the literature with special attention to imaging reports and description. 272From the Institute of Radiology, Diagnostic Area (B.G.  benedetta.gui@policlinicogemelli.it, A.L.V., V.N., M.M., V.Z., P.P.G., F.C., L.B.) and the Institute of Obstetrics and Gynecology, Female Health Area (M.G.), Catholic University of the Sacred Heart, Agostino Gemelli Hospital, Rome, Italy; "F. Miulli" Regional General Hospital (M.G.), Acquaviva delle Fonti, Bari, Italy. ABSTRACTEndometriosis is a disease distinguished by the presence of endometrial tissue outside the uterine cavity with intralesional recurrent bleeding and resulting fibrosis. The most common locations for endometriosis are the ovaries, pelvic peritoneum, uterosacral ligaments, and torus uterinus. Typical symptoms are secondary dysmenorrhea and cyclic or chronic pelvic pain. Unusual sites of endometriosis may be associated with specific symptoms depending on the localization. Atypical pelv...

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Photoacoustic Imaging Endometriosis Lesions with Nanoparticulate Polydopamine as a Contrast Agent

Lv,

Zhang,

Yang

et al. 2023

Adv Healthcare Materials

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Abstract. Endometriosis (EM) is a prevalent and debilitating gynecological disorder primarily affecting women of reproductive age. The diagnosis of EM has historically been hampered by delays, owing to the absence of reliable diagnostic and monitoring techniques. We herein reported that photoacoustic imaging could be a non‐invasive modality for deep‐seated EM by employing a hyaluronic acid‐modified polydopamine (PDA@HA) nanoparticle as the contrast agent. The PDA@HA nanoparticles exhibited inherent absorption and photothermal effects when exposed to near‐infrared light, proficiently converting thermal energy into sound waves. Leveraging the targeting properties of HA, we observed distinct photoacoustic signals emanating from the periphery of orthotopic EM lesions. These findings were corroborated through anatomical observations and in vivo experiments involving mice with green fluorescent protein‐labeled EM lesions. Moreover, the changes in photoacoustic intensity over a 24‐hour period reflected the dynamic evolution of PDA@HA nanoparticle biodistribution. Through the utilization of a photoacoustic‐ultrasound modality, we conducted in vivo assessments of endometriosis (EM) lesion volumes. This innovative approach not only facilitates real‐time monitoring of the therapeutic kinetics of candidate drugs but also obviates the need for the sacrifice of experimental mice. As such, our study presents a promising avenue for enhancing the diagnosis and drug screening processes of EM.This article is protected by copyright. All rights reserved

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Thoracic endometriosis syndrome: CT and MRI features

Cited by 103 publications

References 25 publications

Pleural Endometriosis Associated with Catamenial Hemothorax: A Case Report

Pleural Endometriosis Associated with Catamenial Hemothorax: A Case Report

Shining light in a dark landscape: MRI evaluation of unusual localization of endometriosis

Photoacoustic Imaging Endometriosis Lesions with Nanoparticulate Polydopamine as a Contrast Agent

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