{"paper_id":"8bf261a4-40b5-4f15-b550-b8ff00d94ec0","body_text":"Symptomatic Diaphragmatic Endometriosis Ten Years After Total Abdominal Hysterectomy\n- Barak Nahir\n- Talia Eldar-Geva\n- Joseph Alberton\n- Uzi Beller\nBACKGROUND:\nEndometriosis is a disease that affects women, mostly in the age range of 25–35 years, and in most cases pelvic organs are involved. Involvement of the diaphragm after hysterectomy is extremely uncommon.\nCASE:\nA 50-year-old woman presented to our department with right upper-quadrant abdominal pain. Ten years before her admission, she underwent total hysterectomy and right salpingo-oophorectomy for a large leiomyomatous uterus. On evaluation, a right diaphragmatic lesion was identified by computed tomography. An explorative laparotomy was then performed, which revealed a 4-cm diaphragmatic cyst compressing the liver surface and containing thick chocolate-colored material. The lesion was totally excised. Pathological examination confirmed the diagnosis of endometriotic cyst.\nCONCLUSION:\nThe diagnosis of endometriosis involving the diaphragm with no evidence of disease in the pelvis 10 years after hysterectomy, although a rare situation, should be considered in the differential diagnosis of a symptomatic diaphragmatic lesion in a woman with a single functioning ovary.","source_license":"public-domain-us","license_restricted":false}