Endometriose pleural: achados na ressonância magnética

Abstract

Endometriosis is a benign gynecological disorder associated with pelvic pain and infertility, primarily affecting women of reproductive age. Thoracic endometriosis affects the pulmonary parenchyma or pleura. We report the cases of two patients with pleural endometriosis who presented with recurrent pneumothorax. In both cases, magnetic resonance imaging (MRI) of the chest showed right hydropneumothorax and well-defined, rounded nodules on the pleural surface in the right hemithorax. We conclude that MRI is a good option for the characterization of pleural endometriotic nodules and hemorrhagic pleural effusion.Keywords: Endometriosis; Magnetic resonance imaging; Pneumothorax. ResumoA endometriose é uma doença ginecológica benigna associada à dor pélvica e infertilidade que afeta principalmente mulheres em idade reprodutiva. A endometriose torácica afeta o parênquima pulmonar ou a pleura. Relatamos os casos de duas pacientes com endometriose pleural que apresentaram pneumotórax recorrente. Em ambos os casos, a ressonância magnética de tórax mostrou hidropneumotórax à direita e nódulos redondos, bem definidos, na superfície pleural à direita. A ressonância magnética é uma boa opção para a caracterização dos nódulos de endometriose pleural e de derrame pleural hemorrágico.Descritores: Endometriose; Imagem por ressonância magnética; Pneumotórax.* Study carried out in the

Catamenial pneumothorax

“…Imaging studies include principally chest radiography and CT, which can demonstrate pneumothorax, hydropneumothorax or pleural nodular lesions. Magnetic resonance imaging has increasingly gained relevance since, besides differentiating parenchymal from pleural lesions, this method presents a better spatial resolution and, if performed during the menstrual period, it can identify glandular tissue in the affected site (hyperintense foci on T2-weighted images) ( 17 - 19 ) .…”

Catamenial pneumothorax revealing diaphragmatic endometriosis: a case report and revue of literature

“…Chest MRI is superior to CT in displaying diaphragmatic endometriosis lesions, thanks to its higher contrast resolution and better characterization of haemorrhagic lesions [ 13 ]. Chest MRI can also detect small pleural endometriosis characterized by the presence of small cystic hyperintense lesions on T1-weighted images of the visceral or parietal pleura [ 14 , 15 ].…”

Катаменіальний Пневмоторакс: Нові Погляди Й Міркування

“…За літературними даними, при торакоскопії знаходять лише були у 23 %, і взагалі не знаходять патології у 8,5 % хворих [36].…”