Thoracic endometriosis: A case of one step multidisciplinary surgical treatment

Virginia Foreste, Foreste Virginia, Massimiliano Pellicano, Pellicano Massimiliano, Santini Mario, Mario Santini, Giuseppe Bifulco, Alessandra Gallo
In: Journal of Clinical Advances in Dentistry · 2022 · vol. 6(1) , pp. 031–033 · doi:10.29328/journal.jcad.1001030 · W4293796382
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This paper reports a case of thoracic endometriosis managed with a single-step multidisciplinary surgery addressing both thoracic and pelvic endometriosis, following a spontaneous pneumothorax.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-14 · read from full text ⓘ

This paper reports a single patient case of thoracic endometriosis presenting with repeated spontaneous pneumothorax, in which investigations identified diaphragmatic fenestrations along with right-sided pleural and lung endometriosis. The authors note that ultrasound evidence also showed pelvic endometriosis, and they scheduled a one-step multidisciplinary surgical approach intended to treat thoracic and pelvic disease during the same operation. A limitation is that the findings are based on one case, without comparative data or broader outcome assessment. This paper is centrally about endometriosis — it describes thoracic endometriosis in the context of concurrent pelvic disease and multidisciplinary one-step surgery.

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Abstract

We describe a case of thoracic endometriosis in a patient with a repeated episode of spontaneous pneumothorax. Investigations revealed diaphragmatic fenestrations and right-sided pleural and lung endometriosis. Considering the ultrasound evidence of pelvic endometriosis, the patient was scheduled for multidisciplinary surgical management, to treat in one step thoracic and pelvic endometriosis.
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Thoracic endometriosis: A case of one step multidisciplinary surgical treatment Main Article Content Abstract We describe a case of thoracic endometriosis in a patient with a repeated episode of spontaneous pneumothorax. Investigations revealed diaphragmatic fenestrations and right-sided pleural and lung endometriosis. Considering the ultrasound evidence of pelvic endometriosis, the patient was scheduled for multidisciplinary surgical management, to treat in one step thoracic and pelvic endometriosis. Article Details Copyright (c) 2022 Foreste V, et al. This work is licensed under a Creative Commons Attribution 4.0 International License. Burney RO, Giudice LC. Pathogenesis and pathophysiology of endometriosis. Fertil Steril. 2012 Sep;98(3):511-9. doi: 10.1016/j.fertnstert.2012.06.029. Epub 2012 Jul 20. PMID: 22819144; PMCID: PMC3836682. Chen ML, Li CY. Thoracic Endometriosis. N Engl J Med. 2021 Nov 4;385(19):e65. doi: 10.1056/NEJMicm2105508. PMID: 34731539. Chen C, Zhai K, Tang Y, Qu W, Zuo J, Ke X, Song Y. Thoracic endometriosis: a case report and review of the literature. Ann Palliat Med. 2021 Mar;10(3):3500-3503. doi: 10.21037/apm-21-280. PMID: 33849132. Andres MP, Arcoverde FVL, Souza CCC, Fernandes LFC, Abrão MS, Kho RM. Extrapelvic Endometriosis: A Systematic Review. J Minim Invasive Gynecol. 2020 Feb;27(2):373-389. doi: 10.1016/j.jmig.2019.10.004. Epub 2019 Oct 13. PMID: 31618674. Nezhat C, Main J, Paka C, Nezhat A, Beygui RE. Multidisciplinary treatment for thoracic and abdominopelvic endometriosis. JSLS. 2014 Jul-Sep;18(3):e2014.00312. doi: 10.4293/JSLS.2014.00312. PMID: 25392636; PMCID: PMC4154426. Nezhat C, Nicoll LM, Bhagan L, Huang JQ, Bosev D, Hajhosseini B, Beygui RE. Endometriosis of the diaphragm: four cases treated with a combination of laparoscopy and thoracoscopy. J Minim Invasive Gynecol. 2009 Sep-Oct;16(5):573-80. doi: 10.1016/j.jmig.2009.06.012. PMID: 19835800. Pankratjevaite L, Samiatina-Morkuniene D. A case report of thoracic endometriosis - A rare cause of haemothorax. Int J Surg Case Rep. 2017;33:139-142. doi: 10.1016/j.ijscr.2017.02.052. Epub 2017 Mar 4. PMID: 28315819; PMCID: PMC5358902. Sampson JA. The development of the implantation theory for the origin of peritoneal endometriosis. Am J Obstet Gynecol 1940; 40:549-557 Soares T, Oliveira MA, Panisset K, Habib N, Rahman S, Klebanoff JS, Moawad GN. Diaphragmatic endometriosis and thoracic endometriosis syndrome: a review on diagnosis and treatment. Horm Mol Biol Clin Investig. 2021 Feb 18. doi: 10.1515/hmbci-2020-0066. Epub ahead of print. PMID: 34704688. Bobbio A, Canny E, Mansuet Lupo A, Lococo F, Legras A, Magdeleinat P, Regnard JF, Gompel A, Damotte D, Alifano M. Thoracic Endometriosis Syndrome Other Than Pneumothorax: Clinical and Pathological Findings. Ann Thorac Surg. 2017 Dec;104(6):1865-1871. doi: 10.1016/j.athoracsur.2017.06.049. Epub 2017 Oct 17. PMID: 29054304. Ceccaroni M, Roviglione G, Farulla A, Bertoglio P, Clarizia R, Viti A, Mautone D, Ceccarello M, Stepniewska A, Terzi AC. Minimally invasive treatment of diaphragmatic endometriosis: a 15-year single referral center's experience on 215 patients. Surg Endosc. 2021 Dec;35(12):6807-6817. doi: 10.1007/s00464-020-08186-z. Epub 2021 Jan 4. Erratum in: Surg Endosc. 2021 Jan 13;: PMID: 33398589. Peterzan M, Reynolds T, Dulay K, Wooldridge R. Thoracic endometriosis syndrome manifesting as atraumatic haemothorax causing difficult ventilation under general anaesthesia. BMJ Case Rep. 2012 Dec 19;2012:bcr2012007206. doi: 10.1136/bcr-2012-007206. PMID: 23257939; PMCID: PMC4543866. Sevinç S, Unsal S, Oztürk T, Uysal A, Samancilar O, Kaya SO, Ermete S. Thoracic endometriosis syndrome with bloody pleural effusion in a 28 year old woman. J Pak Med Assoc. 2013 Jan;63(1):114-6. PMID: 23865146.

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endometriosisthoracic_endometriosis

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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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