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
Case report OA: closed CC0 ⤵ 6 in-corpus citations
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⚙ AI-generated summary by gemini-2.5-flash-lite, 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

OBJECTIVE: To present a five-step approach to the laparoscopic excision of pericardial and diaphragmatic endometriosis. DESIGN: Surgical video. SETTING: Academic 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 Adult Diaphragm Diaphragm Diaphragm Endometriosis Endometriosis Endometriosis Endometriosis Female Female Humans Humans Laparoscopy Laparoscopy Pelvic Pain

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (7)

Cited by (6)

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License: CC0 · commercial use OK