Laparoscopic excision of pericardial and diaphragmatic endometriosis

Nguyen DB, Dong Bach Nguyen, Sébastien Gilbert, Sebastien Gilbert, Gilbert S, Arendas K, Kristina Arendas, C.A. Jago, Caitlin A Jago, Singh SS, Sukhbir S Singh
Fertility and sterility · 2020 · vol. 115(3) , pp. 807–808 · doi:10.1016/j.fertnstert.2020.09.152 · PMID:33272621 · W3106581780
article OA: closed CC0 ⤵ 6 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This paper describes the laparoscopic excision of endometriosis affecting both the pericardium and diaphragm in a patient.

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Abstract

ObjectiveTo present a five-step approach to the laparoscopic excision of pericardial and diaphragmatic endometriosis.DesignSurgical video.SettingAcademic tertiary care hospital.Patient(s)35-year-old nulliparous woman observed for chronic pelvic pain and infertility with a diagnosis of diaphragmatic endometriosis at a prior laparoscopy. Symptoms included severe chest pain and right shoulder tip pain, refractory to multiple medical therapies.Intervention(s)Laparoscopic excision of pericardial and diaphragmatic endometriosis.Main outcome measure(s)Description of the relevant anatomy, the literature surrounding pericardial and diaphragmatic endometriosis, and the approach to the surgical intervention and postoperative care.Result(s)The laparoscopic excision of the full-thickness pericardial and diaphragmatic endometriotic lesions was successfully completed according to five reproducible steps: upper abdominal survey, liver mobilization, excision of diaphragmatic endometriosis, intrathoracic laparoscopic exploration, and closure of the diaphragmatic defect.Conclusion(s)Although rare and challenging to diagnose and treat, pericardial and diaphragmatic endometriosis and its potentially debilitating symptoms can be successfully managed through a multidisciplinary and stepwise surgical intervention.

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Condition tags

endometriosischronic_pelvic_painthoracic_endometriosis

MeSH descriptors

Diaphragm Endometriosis Laparoscopy Pericardium Adult Diaphragm Diaphragm Endometriosis Endometriosis Endometriosis Female Humans Laparoscopy Pelvic Pain Pelvic Pain Pelvic Pain Pelvic Pain Pericardium Pericardium Video-Assisted Surgery

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 (7)

Cited by (6)

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License: CC0 · commercial use OK