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Cited by 138Endometriosis Research and TreatmentPleural and Pulmonary DiseasesMedical Imaging and Pathology Studies

Thoracic endometriosis syndrome: CT and MRI features

Rousset, P., Rousset-Jablonski, C., Alifano, M., Mansuet-Lupo, A., Buy, J.-N., Revel, M.-P.·2014·Clinical Radiology
DOI 10.1016/j.crad.2013.10.014
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Abstract

Thoracic endometriosis is considered to be rare, but is the most frequent form of extra-abdominopelvic endometriosis. Thoracic endometriosis syndrome affects women of reproductive age. Diagnosis is mainly based on clinical findings, which can include catamenial pneumothorax and haemothorax, non-catamenial endometriosis-related pneumothorax, catamenial haemoptysis, lung nodules, and isolated catamenial chest pain. Symptoms are typically cyclical and recurrent, with a right-sided predominance. Computed tomography (CT) is the first-line imaging method, but is poorly specific; therefore, its main role is to rule out other pulmonary diseases. However, in women with a typical clinical history, some key CT findings may help to confirm this often under-diagnosed syndrome. MRI can also assist with the diagnosis, by showing signal changes typical of haemorrhage within diaphragmatic or pleural lesions.

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Crossref · 10.1016/j.crad.2013.10.014

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  • Other signs of thoracic endometriosis on CXR or CT include pneumomediastinum, pneumoperitoneum, ground glass opacities, bronchial wall thickening, thin-walled cavities within the lung parenchyma, or bullous formation.

    “Other signs of thoracic endometriosis that may be present on CXR or CT include pneumomediastinum, pneumoperitoneum, ground glass opacities, bronchial wall thickening, thin-walled cavities within the lung parenchyma, or bullous formation.44”

    From Thoracic Endometriosis Syndrome: A Review of Diagnosis and Management (2019) · cites this paper as [44]

  • MRI findings can also be falsely negative, failing to detect small lesions.

    “MRI findings can also be falsely negative, failing to detect small lesions.”

    From Extra-pelvic endometriosis: a review. (2020) · cites this paper as [87]

  • The "air filled bubble" sign on MRI may be indicative of small diaphragmatic perforations.

    “The “air filled bubble” sign on MRI may be indicative of small diaphragmatic perforations [ 62 ].”

    From Thoracic Endometriosis Syndrome: A Comprehensive Review and Multidisciplinary Approach to Management (2024) · cites this paper as [62]

  • Radiological features associated with thoracic endometriosis syndrome include pneumomediastinum, pneumoperitoneum, ground glass opacities, bronchial wall thickening, thin-walled cavities within the lung parenchyma, and bullous formation.

    “Radiological features associated with TES, which may also be seen on CT, include pneumomediastinum, pneumoperitoneum, ground glass opacities, bronchial wall thickening, thin-walled cavities within the lung parenchyma, and bullous formation [ 62 ].”

    From Thoracic Endometriosis Syndrome: A Comprehensive Review and Multidisciplinary Approach to Management (2024) · cites this paper as [62]

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Authors
Rousset, P., Rousset-Jablonski, C., Alifano, M., Mansuet-Lupo, A., Buy, J.-N., & Revel, M.-P.
Affiliations
  • Lyon 1 Université (FR)
  • Hôpital Cochin (FR)
Corresponding author
Rousset, P.
ORCID
Venue
Clinical Radiology
Publisher
Elsevier BV
Published
2014-03
Volume
69
Issue
3
Pages
323-330
ISSN
0009-9260 (ISSN-L)
DOI
10.1016/j.crad.2013.10.014
OpenAlex
W2060350086
Cited by
134
References
33
Citations by year
2026: 9 · 2025: 11 · 2024: 13 · 2023: 12 · 2022: 11 · 2021: 14 · 2020: 11 · 2019: 10 · 2018: 14 · 2017: 10 · 2016: 3 · 2015: 10 · 2014: 5 · 2013: 1
FWCI
7.63
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Clinical Radiology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Pleural and Pulmonary Diseases
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Medical Imaging and Pathology Studies
Keywords
thoracic endometriosis, catamenial pneumothorax, CT imaging features, MRI signal changes, hemorrhage, pleural lesions, pulmonary nodules, chest pain
MeSH terms
Diagnosis, Differential, Endometriosis, Female, Humans, Magnetic Resonance Imaging, Syndrome, Thoracic Diseases, Tomography, X-Ray Computed

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