Non-traumatic diaphragmatic rupture with liver herniation due to endometriosis: A rare evolution of the disease requiring multidisciplinary management

Léopold Gaichies, Gaichies L, Leopold Gaichies, Marie Blouet, François Comoz, Comoz F, Foulon A, Arthur Foulon, Heyndrickx M, Maxime Heyndrickx, R. Fauvet, Raffaèle Fauvet, Fauvet R
Journal of gynecology obstetrics and human reproduction · 2019 · vol. 48(9) , pp. 785–788 · doi:10.1016/j.jogoh.2019.03.006 · PMID:30898626 · W2921084377
article OA: closed CC0 ⤵ 5 in-corpus citations
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This case report describes a rare instance of non-traumatic diaphragmatic rupture with liver herniation caused by endometriosis, highlighting the need for multidisciplinary management.

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Abstract

A 35 year old woman with chronic pelvic endometriosis suffered from right scapular pain. MRI imaging showed a right diaphragmatic rupture with liver herniation. Surgical procedure was performed by thoracotomy. The liver was put back into the abdomen, endometriosis was resected from the diaphragm, interrupted non absorbable suture of the diaphragm was performed and an absorbable mesh was placed. Endometriosis was confirmed on histological analysis of the resected diaphragm. To study this pathology, we performed a systematic review of the literature and found 12 similar cases of diaphragmatic rupture due to endometriosis. Right diaphragm is often involved and rupture is always located on the tendinous portion. Symptoms are mainly cyclic right scapular pain and cathamenial pneumothorax. MRI should be performed in case of suggestive symptoms and a systematic exploration of the diaphragm should be performed at laparoscopy for an early treatment of the lesions to prevent progression to rupture.

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Condition tags

endometriosis

MeSH descriptors

Diaphragm Endometriosis Hernia, Diaphragmatic Liver Adult Diaphragm Diaphragm Diaphragm Endometriosis Endometriosis Endometriosis Female Hernia, Diaphragmatic Hernia, Diaphragmatic Hernia, Diaphragmatic Humans Liver Magnetic Resonance Imaging Rupture Thoracotomy

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.

References (15)

Cited by (5)

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