Bilateral Thoracic Endometriosis Affecting the Lung and Diaphragm

Camran Nezhat, Louise P King, Chandhana Paka, Justin Odegaard, Justin I. Odegaard, Ramin Beygui, Ramin E. Beygui
JSLS : Journal of the Society of Laparoendoscopic Surgeons · 2012 · vol. 16(1) , pp. 140–142 · doi:10.4293/108680812x13291597716384 · PMID:22906342 · W2089503094
article OA: hybrid CC0 ⤵ 30 in-corpus citations
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This case report describes a 43-year-old patient with bilateral pneumothoraces, confirmed to be caused by bilateral lung and diaphragmatic endometriosis.

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Abstract

INTRODUCTION: Endometriosis of the lung and the diaphragm is rare. Patients may present with symptoms such as shortness of breath, chest pain, and shoulder pain or they may be asymptomatic. Of note, there have been few reports of bilateral catamenial disease, and no reports, to our knowledge, of bilateral pathology proven pulmonary parenchymal endometriosis. CASE: A 43-year-old with stage IV endometriosis and large leiomyoma underwent a laparoscopic hysterectomy and treatment of endometrial lesions in 2005. In March and April of 2011, she presented with bilateral pneumothoraces. She subsequently underwent video-assisted thoracoscopy as well as resection and fulguration of bilateral lung and diaphragmatic endometriosis. Pathology confirmed endometrial implants in the lung parenchyma bilaterally. CONCLUSION: Catamenial pneumothorax is the most common presentation of thoracic endometriosis. However, bilateral catamenial pneumothoraces are rare. To the best of our knowledge, this case reflects the first report of pathology proven bilateral lung and diaphragm endometriosis.

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Condition tags

mesh:D004715endometriosisthoracic_endometriosis

MeSH descriptors

Endometriosis Pneumothorax Pneumothorax Thoracic Surgery, Video-Assisted Adult Endometriosis Female Humans Lung Lung Pneumothorax Pneumothorax Pneumothorax

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 (19)

Cited by (30)

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