A Case of Multisystem Endometriosis

Athwal, Pardeep; Patel, Krishna; Hassani, Cameron; Bahadori, Shapour; Nardi, Peter M.

doi:10.3941/jrcr.v7i10.1483

Cited by 10 publications

(14 citation statements)

References 8 publications

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“…Omental endometriosis is a rare entity, with only a few cases reported [7] , [8] . Although rare, there have been reports of large endometriomas causing mass effect within the abdominal cavity, with the largest case report describing a 64 kg endometrioma [9] .…”

Section: Discussionmentioning

confidence: 99%

Massive endometrioma presenting with dyspnea and abdominal symptoms

Capaccione

Levin

Tchabo

et al. 2017

Radiology Case Reports

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An abdominal mass may present with a myriad of symptoms resulting from compression of surrounding organs. A major clinical challenge with practical implications is accurate preoperative identification of the origin of the mass. Here, we present the case of a 29-year-old female patient with abdominal distension and shortness of breath for approximately 6 weeks before presentation. A large abdominal mass compressing the surrounding organs was observed on abdominal x-ray and computed tomography of the abdomen and pelvis. Preoperative imaging was unable to identify the organ of origin; pathologic and histologic analyses of the tumor ultimately identified a rare, massive intra-abdominal endometrioma, freely floating within the peritoneum and fed by an omental blood supply. This case highlights the importance of considering an atypical presentation of endometriosis in women of reproductive age with abdominal complaints.

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Section: Discussionmentioning

confidence: 99%

Massive endometrioma presenting with dyspnea and abdominal symptoms

Capaccione

Levin

Tchabo

et al. 2017

Radiology Case Reports

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“…In all population of women with spontaneous pneumothorax it can comprise about 15% [3,4]. The lack of specific clinical symptoms and necessity of careful visualisation of pleural cavity makes early diagnosis difficult [1,5,6]. The leading role in its pathogenesis, seems to belong to trans diaphragmatic passage of air to the pleural cavity.…”

Section: Discussionmentioning

confidence: 99%

Endometriosis-Associated Pneumothorax with Hepatic Microherniations

Obornev¹

2019

JGWH

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We present a case of multiple liver microherniations due to endometriotic diaphragmatic defects in a woman with right-sided pneumothorax and bilateral Fallopian tube resection. A 33-yr old female patient was referred with moderate right-sided chest pain during previous 3 days. On CT-scan we observed a right-sided moderate pneumothorax. On the diaphragmatic dome some tissue nodules were observed. During VATS we observed liver tissue, protruding into the pleural cavity through the defects in the diaphragm. Resection of the tendinous portion was performed with separate suture closure of the diaphragm, added by costal pleurectomy. The patient was dispatched to the gynecologist for further treatment. After prescription of analogues of GNRH no sign of recurrence was seen. In our case no evidence of pulmonary abnormalities was seen, thus, excluding other ways of air passage to the pleural cavity. The only abnormal place was the diaphragmatic dome. Surprisingly, the patient underwent bilateral tube resection in 2010. CT-scan findings, which were firstly proposed to be of endometriotic origin, revealed during VATS as liver microherniatons.

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“…Catamenial pneumothorax (CP) is a rare clinical entity characterized by lung collapse during menstruation (catamenial is a derivation of the Greek term

that refers to monthly), believed to be secondary to endometriosis within the pleural cavity and causing 1/3 of spontaneous pneumothorax in women of child-bearing age [1,8] . Although the progressive improvement in imaging techniques and minimally invasive procedures, the lack of macroscopic findings at surgery makes this condition still under-diagnosed with a reported incidence of 3–5% [1,3,9] . The disease more frequently occurs in premenopausal women aged 30–50 who have a history of infertility, severe endometriosis and recurrent spontaneous pneumothorax within 72 h of the onset of menses [6,9] .…”

Section: Discussionmentioning

confidence: 99%

“…Although the progressive improvement in imaging techniques and minimally invasive procedures, the lack of macroscopic findings at surgery makes this condition still under-diagnosed with a reported incidence of 3–5% [1,3,9] . The disease more frequently occurs in premenopausal women aged 30–50 who have a history of infertility, severe endometriosis and recurrent spontaneous pneumothorax within 72 h of the onset of menses [6,9] .…”

Section: Discussionmentioning

confidence: 99%