Symptomatic Diaphragmatic Endometriosis Ten Years After Total Abdominal Hysterectomy
Abstract
BACKGROUND: Endometriosis is a disease that affects women, mostly in the age range of 25-35 years, and in most cases pelvic organs are involved. Involvement of the diaphragm after hysterectomy is extremely uncommon. CASE: A 50-year-old woman presented to our department with right upper-quadrant abdominal pain. Ten years before her admission, she underwent total hysterectomy and right salpingo-oophorectomy for a large leiomyomatous uterus. On evaluation, a right diaphragmatic lesion was identified by computed tomography. An explorative laparotomy was then performed, which revealed a 4-cm diaphragmatic cyst compressing the liver surface and containing thick chocolate-colored material. The lesion was totally excised. Pathological examination confirmed the diagnosis of endometriotic cyst. CONCLUSION: The diagnosis of endometriosis involving the diaphragm with no evidence of disease in the pelvis 10 years after hysterectomy, although a rare situation, should be considered in the differential diagnosis of a symptomatic diaphragmatic lesion in a woman with a single functioning ovary.
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Diaphragmatic endometriosis is a rare entity, often asymptomatic, and has been described only in small series.
“Diaphragmatic endometriosis is a rare entity, often asymptomatic, which has been described only in small series.”
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- Authors
- Nahir, B., Eldar-Geva, T., Alberton, J., & Beller, U.
- Affiliations
- Ben-Gurion University of the Negev (IL)
- Venue
- Obstetrics & Gynecology
- Published
- 2004-11
- Volume
- 104
- Issue
- 5
- Pages
- 1149-1151
- ISSN
- 0029-7844 (ISSN-L)
- OpenAlex
- W2012887085
- Cited by
- 15
- References
- 6
- Citations by year
- 2025: 2 · 2023: 2 · 2022: 1 · 2021: 1 · 2020: 1 · 2016: 1 · 2013: 1 · 2012: 1
- FWCI
- 0.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Obstetrics and Gynecology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ectopic Pregnancy Diagnosis and Management
- Keywords
- diaphragmatic endometriosis, endometriotic cysts, total abdominal hysterectomy, salpingo-oophorectomy, leiomyoma, right upper quadrant pain, diaphragmatic cyst, differential diagnosis
- MeSH terms
- Biopsy, Needle, Cysts, Diaphragm, Endometriosis, Female, Follow-Up Studies, Humans, Hysterectomy, Immunohistochemistry, Laparotomy, Leiomyoma, Liver Diseases, Middle Aged, Time Factors, Tomography, X-Ray Computed, Uterine Neoplasms, Abdominal Pain, Risk Assessment, Ultrasonography, Doppler
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