Diaphragmatic endometriosis: CT and MR findings

Posniak, Harold V.; Keshavarzian, Ali; Jabamoni, Reena

doi:10.1007/bf01888817

Cited by 21 publications

(8 citation statements)

References 8 publications

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“…However, MRI may be able to diagnose endometriosis by appearance of hemorrhage within endometriomata and by one or more surrounding low-intensity rings. 44 For unknown reasons, diaphragm involvement is typically on the right. 43 Ultimately, the best diagnostic test is either video-assisted thoracoscopy or laparoscopy.…”

Section: Benign Metastatic Lesions To the Diaphragm Endometriosismentioning

confidence: 99%

Tumors of the Diaphragm

Kim

Hofstetter

2009

Thoracic Surgery Clinics

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Section: Benign Metastatic Lesions To the Diaphragm Endometriosismentioning

confidence: 99%

Tumors of the Diaphragm

Kim

Hofstetter

2009

Thoracic Surgery Clinics

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“…Diaphragmatic endometriosis has been described in case reports and in small series [8–18]; it can be asymptomatic or pain can be referred to the right or left upper abdominal quadrants, thorax and arms. In these cases the entire thickness of the muscle can be involved by endometriosis with extension into the pleural space, resulting in pneumo- or haemothorax.…”

Section: Introductionmentioning

confidence: 99%

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

Ceccaroni¹,

Roviglione²,

Rosenberg³

et al. 2012

Videosurgery and Other Miniinvasive Techniques

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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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“…CA-125 is a reliable parameter in the follow-up of a patient with known deep endometriosis, as described in our case (6). Nuclear magnetic resonance-scan has great potential in establishing the diagnosis of diaphragmatic endometriosis (7). The most effective treatment of endometriosis associated with pain is surgical.…”

Section: Discussionmentioning

confidence: 95%