Thoracic and diaphragmatic endometriosis: Single-institution experience using novel, broadened diagnostic criteria
Open accessAbstract
Objective: To describe our experience with the multidisciplinary management of both thoracic/diaphragmatic endometriosis (TED), applying a broadened definition of the “Thoracic endometriosis syndrome (TES)” to define cases. Material and Methods: We present a retrospective series of consecutive patients affected by pathology-proven TED, treated at our institution, during a period of 7 years. Results: Five women were included. Two patients were referred due to catamenial chest/shoulder pain, one due to recurrent catamenial pneumothorax, and one due to new-onset diaphragmatic hernia. One patient had no thoracic symptoms, but diaphragmatic endometriosis was found during gynecologic laparoscopy for pelvic endometriosis. Endometriosis was histologically confirmed in all cases. After follow-up, all patients remain asymptomatic. Conclusion: Broadened TES criteria could increase the incidence of TED and determine better knowledge of this condition. Multidisciplinary, minimally invasive surgery is effective and safe, but should be reserved for tertiary referral centers.
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An expanded criterion for thoracic endometriosis syndrome that includes endometriosis-related diaphragmatic rupture, catamenial chest pain and recurrent pleural effusion has been used to successfully detect more cases.
“This expanded criterion has already been used to successfully detect more cases [ 16 ].”
From Thoracic Endometriosis Syndrome: A Comprehensive Review and Multidisciplinary Approach to Management (2024) · cites this paper as [16]
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- Authors
- Larraín, D., Suárez, F., Braun, H., Chapochnick, J., Diaz, L., & Rojas, I.
- Affiliations
- Clinica Santa Maria (CL)
- Corresponding author
- Larraín, Demetrio
- Venue
- Journal of the Turkish-German Gynecological Association
- Publisher
- Galenos Yayinevi
- Published
- 2018-08-06
- Volume
- 19
- Issue
- 3
- Pages
- 116-121
- ISSN
- 1309-0380 (ISSN-L)
- 1309-0399
- PMC
- PMC6085532
- OpenAlex
- W2806001679
- Cited by
- 31
- References
- 18
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 4 · 2023: 2 · 2022: 1 · 2021: 9 · 2020: 4 · 2019: 5
- FWCI
- 4.83
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- Journal of the Turkish-German Gynecological Association (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- 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, diaphragmatic endometriosis, thoracic endometriosis syndrome, diagnostic criteria, catamenial pneumothorax, diaphragmatic hernia, minimally invasive surgery, multidisciplinary management, pelvic endometriosis
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