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Thoracic endometriosis syndrome: CT and MRI features
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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“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]
In the citing paper
“MRI findings can also be falsely negative, failing to detect small lesions.”
From Extra-pelvic endometriosis: a review. (2020) · cites this paper as [87]
In the citing paper
“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]
In the citing paper
“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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Metadata
- 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.
- Venue
- Clinical Radiology
- Publisher
- Elsevier BV
- Published
- 2014-03
- Volume
- 69
- Issue
- 3
- Pages
- 323-330
- ISSN
- 0009-9260 (ISSN-L)
- 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
- FWCI
- 7.63
- Type
- journal article
- Language
- en
- Open access
- closed
- 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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