Ascites and pleural and pericardial effusion after operative laparoscopy

Crescini, Claudio; Wunster, Silvia Von; Spazzini, Donata

doi:10.1016/s1074-3804(00)80028-6

Cited by 10 publications

(1 citation statement)

References 6 publications

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“…about a woman with tubo-ovarian endometriosis who, 50 days after laparoscopy, developed massive ascites, bilateral pleural and pericardial effusion. At re-laparotomy pelvic peritonitis was present and ascitic, pleural and pericardial fluid was secondary to superinfection, and there was no cytological or histological confirmation of endometriosis [33]. …”

Section: Discussionmentioning

confidence: 99%

Pericardial, pleural and diaphragmatic endometriosis in association with pelvic peritoneal and bowel endometriosis: a and review of the literature

Ceccaroni¹,

Roviglione²,

Rosenberg³

et al. 2012

wiitm

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Diaphragmatic endometriosis is a rare entity, often asymptomatic, which has been described only in small series. It is almost always associated with severe pelvic involvement. The most plausible theory about this condition is based on retrograde menstruation and subsequent transportation of viable cells in peritoneal fluid from the pelvis up the right gutter to the right hemidiaphragm, thus demonstrating its asymmetric distribution on the diaphragm. Pre-operative diagnosis is poorly supported by imaging techniques. In most cases, it is an incidental finding because the lesions may hide behind the right hepatic lobe. In that case it cannot be easily demonstrated with a laparoscope from an umbilical port. Symptomatic diaphragmatic endometriosis is associated with deep lesions which can involve the entire thickness of the diaphragm. In these cases, treatment is more difficult with possible incomplete pain relief and a considerable possibility of recurrence. In this subset, abdominal surgery is recommended. Surgical treatment must be individualized on the basis of the patient's age, fertility desires, type and location of disease and symptoms. We report the surgical treatment of a patient with synchronous pericardial, pleural and diaphragmatic endometriosis associated with pelvic peritoneal and bowel involvement. A review of the literature regarding pericardial and diaphragmatic endometriosis focusing on anatomical and surgical aspects of its management is undertaken.

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Section: Discussionmentioning

confidence: 99%

Pericardial, pleural and diaphragmatic endometriosis in association with pelvic peritoneal and bowel endometriosis: a and review of the literature

Ceccaroni¹,

Roviglione²,

Rosenberg³

et al. 2012

wiitm

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Pleural effusion secondary to endometriosis: A systematic review

Porcel,

Sancho-Marquina,

Monteagudo

et al. 2023

The American Journal of the Medical Sciences

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Laparoscopic excision of pericardial and diaphragmatic endometriosis

Nguyen

Gilbert

Arendas

et al. 2021

Fertility and Sterility

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Objective: To present a five-step approach to the laparoscopic excision of pericardial and diaphragmatic endometriosis. Design: Surgical video. Setting: Academic tertiary care hospital. Patient(s): 35-year-old nulliparous woman observed for chronic pelvic pain and infertility with a diagnosis of diaphragmatic endometriosis at a prior laparoscopy. Symptoms included severe chest pain and right shoulder tip pain, refractory to multiple medical therapies. Intervention(s): Laparoscopic excision of pericardial and diaphragmatic endometriosis. Main Outcome Measure(s): Description of the relevant anatomy, the literature surrounding pericardial and diaphragmatic endometriosis, and the approach to the surgical intervention and postoperative care. Result(s): The laparoscopic excision of the full-thickness pericardial and diaphragmatic endometriotic lesions was successfully completed according to five reproducible steps: upper abdominal survey, liver mobilization, excision of diaphragmatic endometriosis, intrathoracic laparoscopic exploration, and closure of the diaphragmatic defect. Conclusion(s):Although rare and challenging to diagnose and treat, pericardial and diaphragmatic endometriosis and its potentially debilitating symptoms can be successfully managed through a multidisciplinary and stepwise surgical intervention. (Fertil Steril Ò 2021;115:807-8. Ó2020 by American Society for Reproductive Medicine.) El resumen está disponible en Español al final del artículo.

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Ascites and pleural and pericardial effusion after operative laparoscopy

Cited by 10 publications

References 6 publications

Pericardial, pleural and diaphragmatic endometriosis in association with pelvic peritoneal and bowel endometriosis: a and review of the literature

Pericardial, pleural and diaphragmatic endometriosis in association with pelvic peritoneal and bowel endometriosis: a and review of the literature

Pleural effusion secondary to endometriosis: A systematic review

Laparoscopic excision of pericardial and diaphragmatic endometriosis

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