Laparoscopic therapy as a treatment for diaphragmatic endometriosis

Carolina Bandeira Domiciano, Aníbal Costa Filho, Geraldo Camilo Neto, Daniel Hortiz de Carvalho Nobre Felipe, Ana Cecília Maia, Deborah Cristina Nascimento de Oliveira, Bianca Vasconcelos Braga Cavalcante, Ana Júlia de Lima Medeiros Pereira, Marina Crispim Sarmento
In: A LOOK AT DEVELOPMENT · 2023 · doi:10.56238/alookdevelopv1-007 · W4372346398
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-07-13 ⓘ

This literature review describes diaphragmatic endometriosis, its diagnosis through imaging, and concludes that laparoscopic surgery is the preferred curative treatment for patients needing a multidisciplinary approach.

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⚙ AI-generated deep summary by claude@2026-07, 2026-07-13 · read from full text ⓘ

The paper reviews the literature on diaphragmatic endometriosis, describing its thoracic manifestations, the role of the catamenial factor, and common imaging approaches used to detect and stage the disease (including pelvic/transvaginal ultrasound and MRI with specialized protocols). It summarizes historical case reports, such as early descriptions of lung parenchymal involvement and catamenial pneumothorax. The authors state that surgical treatment is the only curative option and argue that minimally invasive (laparoscopic) approaches are preferred over laparotomy due to lower contamination risk and faster recovery, while noting the need for multidisciplinary care; however, the study is a narrative literature review rather than original patient data. This paper is centrally about endometriosis — specifically laparoscopic therapy for diaphragmatic endometriosis and its thoracic presentations.

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Abstract

Introduction: Thoracic involvement accounts for the most prevalent extrapelvic presentation of endometriosis, with the diaphragm being the region most affected by the disease. A variety of symptoms are cited in the literature, with the catamenial factor being the main differential finding of these manifestations. Objective: The purpose of this article is to describe the social impact of diaphragmatic endometriosis on the lives of patients and to discuss the description of endometriosis surgery. Methodology: The present study is based on a literature review based on articles selected by the criteria of relevance and up-to-dateness inserted in a scientific database. Results: The first report of endometriosis involving the lung parenchyma was described in 1938 by Schwarz, while in 1958 there was the first report of catamenial pneumothorax by Maurer et al. Pelvic and transvaginal ultrasound with bowel preparation and magnetic resonance imaging (MRI) with specialized protocols are the main imaging methods for detecting and staging endometriosis. Conclusion: Surgical treatment is the only curative method, and the minimally invasive route should be the choice given the lower risks of contamination, better healing, and complete rehabilitation of the patient in a shorter period if laparotomy were performed. It is worth noting that the patient needs a multidisciplinary approach aiming at a complete recovery and the return to daily activities as soon as possible.
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Keywords

Pleural effusion, diaphragm, Endometriosis, Hemothorax, Pneumothorax.Abstract

Introduction

Thoracic involvement accounts for the most prevalent extrapelvic presentation of endometriosis, with the diaphragm being the region most affected by the disease. A variety of symptoms are cited in the literature, with the catamenial factor being the main differential finding of these manifestations. Objective: The purpose of this article is to describe the social impact of diaphragmatic endometriosis on the lives of patients and to discuss the description of endometriosis surgery. Methodology: The present study is based on a literature review based on articles selected by the criteria of relevance and up-to-dateness inserted in a scientific database. Results: The first report of endometriosis involving the lung parenchyma was described in 1938 by Schwarz, while in 1958 there was the first report of catamenial pneumothorax by Maurer et al. Pelvic and transvaginal ultrasound with bowel preparation and magnetic resonance imaging (MRI) with specialized protocols are the main imaging methods for detecting and staging endometriosis. Conclusion: Surgical treatment is the only curative method, and the minimally invasive route should be the choice given the lower risks of contamination, better healing, and complete rehabilitation of the patient in a shorter period if laparotomy were performed. It is worth noting that the patient needs a multidisciplinary approach aiming at a complete recovery and the return to daily activities as soon as possible. Downloads Published Issue Section License Copyright (c) 2023 Carolina Bandeira Domiciano, Aníbal Costa Filho, Geraldo Camilo Neto, Daniel Hortiz de Carvalho Nobre Felipe, Ana Cecília Maia, Deborah Cristina Nascimento de Oliveira, Bianca Vasconcelos Braga Cavalcante, Ana Júlia de Lima Medeiros Pereira, Marina Crispim Sarmento This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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Condition tags

endometriosisthoracic_endometriosis

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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