Thoracic endometriosis syndrome is strongly associated with severe pelvic endometriosis and infertility
Abstract
Study objective To evaluate the clinical and surgical features of thoracic endometriosis syndrome (TES) represented by catamenial pneumothorax and pelvic endometriosis and to describe their association with infertility.Design Retrospective clinical study (Canadian Task Force classification: II-2).Setting Academic tertiary referral endometriosis center.Patients Seven patients who had undergone surgery because of thoracic and pelvic endometriosis between 2004 and 2010.Interventions Thoracic and pelvic exploration and treatment and fertility treatment.Measurements and main results Concurrently, thoracic and pelvic endometriosis, and subsequent fertility were determined during long-term follow-up after combined surgical and pharmacologic interventions. The most frequent thoracic finding was diaphragmatic implants. Except for 1 patient with recurrent pleurodesis at 1 month after video-assisted thoracoscopy, no patients experienced recurrence of thoracic symptoms during a median (range) follow-up of 31.4 (1-61) months. Severe pelvic endometriosis was diagnosed in 6 patients with notable urologic and gastrointestinal tract involvement. Only 1 patient with catamenial pneumothorax had no macroscopic pelvic lesions. There was a considerable delay between the onset of pelvic symptoms and diagnosis. Median postoperative follow-up was 31.5 (7-84) months. Most patients who tried to conceive had primary infertility.Conclusion Thoracic endometriosis syndrome, represented by catamenial pneumothorax, was strongly associated with severe pelvic endometriosis and a high rate of infertility. Inasmuch as many patients with thoracic endometriosis syndrome are treated by thoracic surgeons using video-assisted thoracoscopy, it is desirable to involve an experienced gynecologist who can diagnose and treat concurrent pelvic endometriosis.
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In a study of seven patients with TES, Soriano et al. found severe concomitant pelvic disease.
“In their study of seven patients with TES, they found severe concomitant pelvic disease, and referred all patients that aspired to childbearing for IVF or adoption [ 23 ].”
From Thoracic Endometriosis Syndrome: A Comprehensive Review and Multidisciplinary Approach to Management (2024) · cites this paper as [23]
Soriano et al. found the presence of infertility to be notably higher in patients with TES.
“Soriano et al. found the presence of infertility to be notably higher in patients with TES [ 23 ].”
From Thoracic Endometriosis Syndrome: A Comprehensive Review and Multidisciplinary Approach to Management (2024) · cites this paper as [23]
The presence of severe pelvic endometriosis is often noted in thoracic endometriosis syndrome.
“The presence of severe pelvic endometriosis is often noted [ 17 , 23 , 45 , 68 , 70 ].”
From Thoracic Endometriosis Syndrome: A Comprehensive Review and Multidisciplinary Approach to Management (2024) · cites this paper as [23]
Cites
Olive, D. L., & Schwartz, L. B. (1993) · New England Journal of Medicine · doi:10.1056/nejm199306173282407 · Cited by 675 · see citing works
Thoracic endometriosis syndrome: New observations from an analysis of 110 cases
Joseph, J., & Sahn, S. A. (1996) · The American Journal of Medicine · doi:10.1016/s0002-9343(97)89454-5 · Cited by 466 · see citing works
Pathogenic mechanisms in endometriosis-associated infertility
Gupta, S., Goldberg, J. M., Aziz, N., Goldberg, E., Krajcir, N., & Agarwal, A. (2008) · Fertility and Sterility · doi:10.1016/j.fertnstert.2008.02.093 · Cited by 409 · see citing works
Arruda, M. S. (2003) · Human Reproduction · doi:10.1093/humrep/deg136 · Cited by 373 · see citing works
Diagnostic delay in women with pain and endometriosis
Husby, G. K., Haugen, R. S., & Moen, M. H. (2003) · Acta Obstetricia Et Gynecologica Scandinavica · doi:10.1034/j.1600-0412.2003.00168.x · Cited by 298 · see citing works
Thoracic Endometriosis: Current Knowledge
Alifano, M., Trisolini, R., Cancellieri, A., & Regnard, J. F. (2006) · The Annals of Thoracic Surgery · doi:10.1016/j.athoracsur.2005.07.044 · Cited by 277 · see citing works
CHRONIC RECURRING SPONTANEOUS PNEUMOTHORAX DUE TO ENDOMETRIOSIS OF THE DIAPHRAGM
Maurer, E. R. (1958) · Journal of the American Medical Association · doi:10.1001/jama.1958.63000150008012c · Cited by 262 · see citing works
Catamenial pneumothorax revisited: Clinical approach and systematic review of the literature
Korom, S., Canyurt, H., Missbach, A., Schneiter, D., Kurrer, M. O., Haller, U., Keller, P. J., Furrer, M., & Weder, W. (2004) · The Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2004.04.039 · Cited by 239 · see citing works
Cantab, M. D. (1972) · PubMed · Cited by 222 · see citing works
Alifano, M., Jablonski, C., Kadiri, H., Falcoz, P., Gompel, A., Camilleri-Broet, S., & Regnard, J.-F. (2007) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200704-587oc · Cited by 175 · see citing works
Wardle, P. G., McLaughlin, E. A., McDermott, A., Mitchell, J. D., Ray, B. D., & Hull, M. G. R. (1985) · The Lancet · doi:10.1016/s0140-6736(85)90289-2 · Cited by 165 · see citing works
Catamenial pneumothorax and endometriosis-related pneumothorax: clinical features and risk factors
Rousset-Jablonski, C., Alifano, M., Plu-Bureau, G., Camilleri-Broet, S., Rousset, P., Regnard, J.-F., & Gompel, A. (2011) · Human Reproduction · doi:10.1093/humrep/der189 · Cited by 127 · see citing works
Catamenial pneumothorax: Optimal hormonal and surgical management
MARSHALL, M., AHMED, Z., KUCHARCZUK, J., KAISER, L., & SHRAGER, J. (2005) · European Journal of Cardio-Thoracic Surgery · doi:10.1016/j.ejcts.2004.12.047 · Cited by 127 · see citing works
Surgical treatment of catamenial pneumothorax: a single centre experience
Ciriaco, P. P., Negri, G., Libretti, L., Carretta, A., Melloni, G., Casiraghi, M., Bandiera, A., & Zannini, P. (2008) · Interactive Cardiovascular and Thoracic Surgery · doi:10.1510/icvts.2008.190975 · Cited by 81 · see citing works
Doody, M. C., Gibbons, W. E., & Buttram, V. C. (1988) · Fertility and Sterility · doi:10.1016/s0015-0282(16)59646-0 · Cited by 73 · see citing works
Nezhat, C., Nicoll, L. M., Bhagan, L., Huang, J. Q., Bosev, D., Hajhosseini, B., & Beygui, R. E. (2009) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2009.06.012 · Cited by 64 · see citing works
Alifano, M. (2010) · Current Opinion in Pulmonary Medicine · doi:10.1097/mcp.0b013e32833a9fc2 · Cited by 55 · see citing works
Video‐Assisted Thoracoscopic Surgery for Recurrent Spontaneous Pneumothorax: The Long‐term Benefit
Ben-Nun, A., Soudack, M., & Best, L. A. (2006) · World Journal of Surgery · doi:10.1007/s00268-005-0235-2 · Cited by 44 · see citing works
Self-citationGynecologic Evaluation of Catamenial Pneumothorax Associated with Endometriosis
Kumakiri, J., Kumakiri, Y., Miyamoto, H., Kikuchi, I., Arakawa, A., Kitade, M., & Takeda, S. (2010) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2010.04.011 · Cited by 24 · see citing works
Catamenial Pneumothorax, Clinical Manifestations—A Multidisciplinary Challenge
Majak, P., Langebrekke, A., Hagen, O. M., & Qvigstad, E. (2011) · Advances in respiratory medicine · doi:10.5603/arm.27638 · Cited by 17 · see citing works
Difficult management of recurrent catamenial pneumothorax
Oger, P., Alifano, M., Régnard, J., & Gompel, A. (2006) · Gynecological Endocrinology · doi:10.1080/09513590601015051 · Cited by 14 · see citing works
Catamenial pneumothorax: A gynaecologists' view point
Mukhopadhyay, A., & Solomonsz, F. A. (2008) · Journal of Obstetrics and Gynaecology · doi:10.1080/01443610802058718 · Cited by 5 · see citing works
Flagged first, then by citations
1 of the 23 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Thoracic Endometriosis Syndrome: Case Report and Review of the Literature
Azizad-Pinto, P., & Clarke, D. (2014) · The Permanente Journal · doi:10.7812/tpp/13-154 · Cited by 77 · see citing works
Diagnosis and Treatment of Catamenial Pneumothorax: A Systematic Review
Gil, Y., & Tulandi, T. (2020) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2019.08.005 · Cited by 65 · see citing works
MR diagnosis of diaphragmatic endometriosis
Rousset, P., Gregory, J., Rousset-Jablonski, C., Hugon-Rodin, J., Regnard, J.-F., Chapron, C., Coste, J., Golfier, F., & Revel, M.-P. (2016) · European Radiology · doi:10.1007/s00330-016-4226-5 · Cited by 64 · see citing works
Thoracic Endometriosis Syndrome: A Veritable Pandora’s Box
Nair, S. S. (2016) · JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH · doi:10.7860/jcdr/2016/17668.7700 · Cited by 44 · see citing works
Catamenial pneumothorax caused by thoracic endometriosis
Maniglio, P., Ricciardi, E., Meli, F., Vitale, S. G., Noventa, M., Vitagliano, A., Valenti, G., La Rosa, V. L., Laganà, A. S., & Caserta, D. (2018) · Radiology Case Reports · doi:10.1016/j.radcr.2017.09.003 · Cited by 41 · see citing works
Thoracic Endometriosis Syndrome: A Comprehensive Review and Multidisciplinary Approach to Management
Nezhat, C., Amirlatifi, N., Najmi, Z., & Tsuei, A. (2024) · Journal of Clinical Medicine · doi:10.3390/jcm13247602 · Cited by 36 · see citing works
Pagano, F., Schwander, A., Vaineau, C., Knabben, L., Nirgianakis, K., Imboden, S., & Mueller, M. D. (2023) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2023.01.006 · Cited by 31 · see citing works
Catamenial pneumothorax since introduction of video-assisted thoracoscopic surgery
Bricelj, K., Srpčič, M., Ražem, A., & Snoj, Ž. (2017) · Wiener klinische Wochenschrift · doi:10.1007/s00508-017-1237-4 · Cited by 31 · see citing works
Alkudmani, B., Gat, I., Buell, D., Salman, J., Zohni, K., Librach, C., & Sharma, P. (2018) · Journal of minimally invasive gynecology · doi:10.1016/j.jmig.2017.08.641 · Cited by 25 · see citing works
Self-citationNaem, A., Andrikos, A., Constantin, A., Khamou, M., Andrikos, D., Laganà, A., De Wilde, R., & Krentel, H. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12206455 · Cited by 28 · see citing works
Esfandiari, F., Chitsazian, F., Jahromi, M. G., Favaedi, R., Bazrgar, M., Aflatoonian, R., Afsharian, P., D, A. A. M., & Shahhoseini, M. (2021) · Reproductive Biology and Endocrinology · doi:10.1186/s12958-021-00816-y · Cited by 20 · see citing works
Selçuki, N. F. T., Yılmaz, S., Kaya, C., Usta, T. A., Kale, A., & Oral, E. (2021) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2021.08.005 · Cited by 18 · see citing works
Thoracic Endometriosis Syndrome: Association With Pelvic Endometriosis and Fertility Status
Ottolina, J., Stefano, F. D., Viganò, P., Ciriaco, P. P., Zannini, P., & Candiani, M. (2017) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2016.12.025 · Cited by 18 · see citing works
Ciriaco, P., Muriana, P., Carretta, A., Ottolina, J., Candiani, M., & Negri, G. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11051200 · Cited by 16 · see citing works
Catamenial pneumothorax due to solitary localization of diaphragmatic endometriosis
Elia, S., Felice, L. D., Varvaras, D., Sorrenti, G., Mauriello, A., & Petrella, G. (2015) · International Journal of Surgery Case Reports · doi:10.1016/j.ijscr.2015.05.012 · Cited by 10 · see citing works
The rarest forms of endometriosis
Adamyan, L. V., & Andreeva, E. N. (2022) · Russian Journal of Human Reproduction · doi:10.17116/repro20222801145 · Cited by 8 · see citing works
Lalani, S., Black, A., Hodge, M. C., Tulandi, T., & Chen, I. (2017) · Journal of Obstetrics and Gynaecology Canada · doi:10.1016/j.jogc.2017.01.014 · Cited by 8 · see citing works
Thoracic endometriosis syndrome: imaging findings and the value of a dedicated MRI protocol
Li, X., White, D. B., Kruger, L. F., Alwatari, Y. A., Blackmon, S. H., Burnett, T. L., Khan, Z., Chamié, L. P., Feldman, M., & VanBuren, W. M. (2025) · Abdominal Radiology · doi:10.1007/s00261-025-04835-w · Cited by 6 · see citing works
Tailoring radicality in diaphragmatic surgery for deep endometriosis: A matter of choice
Ceccaroni, M., D’Ancona, G., Roviglione, G., Choi, S., Capezzuoli, T., Puppo, A., Drampyan, A., & Barra, F. (2024) · Best Practice & Research Clinical Obstetrics & Gynaecology · doi:10.1016/j.bpobgyn.2024.102499 · Cited by 6 · see citing works
Hirata, T., Nakazawa, A., Fukuda, S., Hirota, Y., Izumi, G., Takamura, M., Harada, M., Koga, K., Wada‐Hiraike, O., Fujii, T., et al. (2015) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2015.04.023 · Cited by 5 · see citing works
Multi-Loculated Catamenial Pneumothorax: A Rare Complication of Thoracic Endometriosis
Staring, G., Monteiro, F., Barracha, I., & Amorim, R. (2021) · Cureus · doi:10.7759/cureus.17583 · Cited by 4 · see citing works
Connecting the dots: Exploring appendiceal endometriosis in women with diaphragmatic endometriosis
Pagano, F., Dedes, I., Imboden, S., & Mueller, M. D. (2024) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2024.08.045 · Cited by 4 · see citing works
Special Issue on “Clinical Research of Spontaneous Pneumothorax”
Ciriaco, P. P. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11112988 · Cited by 4 · see citing works
Pneumothorax cataménial : facile à reconnaître, difficile à traiter
Beranger, F., de Lesquen, H., Goin, G., Natale, C., Bonnet, P.-M., & Avaro, J. P. (2013) · Revue de Pneumologie Clinique · doi:10.1016/j.pneumo.2013.09.004 · Cited by 3 · see citing works
Pulmonary Endometriosis: A Review
Ngwenya, S. (2016) · Pulmonary Research and Respiratory Medicine - Open Journal · doi:10.17140/prrmoj-3-128 · Cited by 2 · see citing works
Gogusev, J., Lepelletier, Y., Khattabi, L. E., Grigoroiu, M., & Validire, P. (2020) · Reproductive Sciences · doi:10.1007/s43032-020-00193-8 · Cited by 2 · see citing works
Narrow band imaging for thoracic endometriosis
Yamamoto, T., Fujikawa, R., Arai, Y., & Nakamura, T. (2020) · Surgery Case Reports · doi:10.1186/s40792-020-01000-x · Cited by 1 · see citing works
Kulikova, N. V., Litvinova, L. S., Shperling, N. V., & Иванов, А. В. (2022) · GYNECOLOGY · doi:10.26442/20795696.2022.4.201771 · Cited by 1 · see citing works
Gogusev, J., Lepelletier, Y., Khattabi, L. E., Grigoroiu, M., & Validire, P. (2019) · Reproductive Sciences · doi:10.1177/1933719119833475 · Cited by 1 · see citing works
Network-based bioinformatics analysis of HOX genes and their related genes in endometriosisPreprint
Chitsazian, F., Favaedi, R., Jahromi, M. G., Bazrgar, M., Aflatoonian, R., Afsharian, P., D, A. A. M., & Shahhoseini, M. (2020) · doi:10.21203/rs.2.19857/v2
Network-based bioinformatics analysis of HOX genes and their related genes in endometriosisPreprint
Chitsazian, F., Favaedi, R., Jahromi, M. G., Bazrgar, M., Aflatoonian, R., Afsharian, P., D, A. A. M., & Shahhoseini, M. (2020) · doi:10.21203/rs.2.19857/v1
Catamenial pneumothorax: A population-based study
Gil, Y., Balayla, J., Tulandi, T., & Capmas, P. (2023) · Journal of Endometriosis and Pelvic Pain Disorders · doi:10.1177/22840265231207949
Surgery for Severe Endometriosis and ART Outcome and Effect of Time Interval Between Surgery and FET
Karimi, M., Asgari, Z., Rezaee, Z., Tanha, F. D., Ebrahimi, M., Saeedi, S., Salehi, F., Feizabad, E., Kaveh, M., & Kaveh, Z. (2024) · Journal of Obstetrics Gynecology and Cancer Research · doi:10.30699/jogcr.9.5.479
An Atypical Case of Thoracic Endometriosis Syndrome Mimicking Pulmonary Tuberculosis
Mhezi, V., Nkrumbih, Z., & Majura, M. (2025) · Case Reports in Radiology · doi:10.1155/crra/1708094
Esfandiari, F., Chitsazian, F., Jahromi, M. G., Favaedi, R., Bazrgar, M., Aflatoonian, R., Afsharian, P., D, A. A. M., & Shahhoseini, M. (2021) · Figshare · doi:10.6084/m9.figshare.16557321
Patel, Y., Malele, K., Santeto, J., Constantin, A., Njagi, J., & Muriuki, C. M. (2026) · European Journal of Medical Case Reports · doi:10.24911/ejmcr.9-2426
Ceccaroni, M., Bogani, G., Féki, A., Moawad, G., & Ferrari, F. A. (2026) · F&S Reviews · doi:10.1016/j.xfnr.2026.100106
Szczepańska, N., Miłosz, P., Pęksa, R., Ciarka, A., Folwarski, M., Niedzielska, J., Szymański, M., Wilczyński, M., & Marjański, T. (2026) · Frontiers in Medicine · doi:10.3389/fmed.2026.1835516
Endometriosis: surgical management for fertility enhancement
Aase, D., & Khan, Z. (2026) · Frontiers in Endocrinology · doi:10.3389/fendo.2026.1861188 · Cited by 1 · see citing works
Marjański, T., Szczepańska, N., Niedzielska, J., Ciarka, A., Pęksa, R., Czapla-Iskrzycka, A., Świątkowska−Stodulska, R., & Milnerowicz-Nabzdyk, E. (2026) · Advances in Clinical and Experimental Medicine · doi:10.17219/acem/217291
- Authors
- Soriano, D., Schonman, R., Gat, I., Schiff, E., Seidman, D. S., Carp, H., Weintraub, A. Y., Ben-Nun, A., & Goldenberg, M.
- Affiliations
- Tel Aviv University (IL)
- Ben-Gurion University of the Negev (IL)
- Corresponding author
- Soriano, David
- Venue
- Journal of Minimally Invasive Gynecology
- Publisher
- Elsevier BV
- Published
- 2012-11
- Volume
- 19
- Issue
- 6
- Pages
- 742-748
- ISSN
- 1553-4650 (ISSN-L)
- OpenAlex
- W2158486702
- Cited by
- 38
- References
- 23
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 4 · 2023: 3 · 2022: 4 · 2021: 4 · 2020: 4 · 2019: 2 · 2017: 5 · 2016: 3 · 2015: 2 · 2014: 1 · 2013: 1
- FWCI
- 1.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Minimally Invasive Gynecology (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 › Obstetrics and Gynecology › Gynecological conditions and treatments
- Keywords
- thoracic endometriosis syndrome, catamenial pneumothorax, pelvic endometriosis, infertility, video-assisted thoracoscopic surgery, pleurodesis, gastrointestinal endometriosis, infertility treatment, surgical management
- MeSH terms
- Adolescent, Adult, Diaphragm, Dysmenorrhea, Endometriosis, Female, Humans, Infertility, Female, Gonadotropin-Releasing Hormone, Lung Diseases, Pleural Diseases, Pneumonectomy, Pneumothorax, Retrospective Studies, Pleurodesis, Thoracic Surgery, Video-Assisted, Female Urogenital Diseases, Young Adult
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