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Case Reports
. 2012 Jan-Mar;16(1):140-2.
doi: 10.4293/108680812X13291597716384.

Bilateral thoracic endometriosis affecting the lung and diaphragm

Camran Nezhat  1 , Louise P King, Chandhana Paka, Justin Odegaard, Ramin Beygui
Affiliations
Case Reports

Bilateral thoracic endometriosis affecting the lung and diaphragm

Camran Nezhat et al. JSLS. 2012 Jan-Mar.

Abstract

Introduction: Endometriosis of the lung and the diaphragm is rare. Patients may present with symptoms such as shortness of breath, chest pain, and shoulder pain or they may be asymptomatic. Of note, there have been few reports of bilateral catamenial disease, and no reports, to our knowledge, of bilateral pathology proven pulmonary parenchymal endometriosis.

Case: A 43-year-old with stage IV endometriosis and large leiomyoma underwent a laparoscopic hysterectomy and treatment of endometrial lesions in 2005. In March and April of 2011, she presented with bilateral pneumothoraces. She subsequently underwent video-assisted thoracoscopy as well as resection and fulguration of bilateral lung and diaphragmatic endometriosis. Pathology confirmed endometrial implants in the lung parenchyma bilaterally.

Conclusion: Catamenial pneumothorax is the most common presentation of thoracic endometriosis. However, bilateral catamenial pneumothoraces are rare. To the best of our knowledge, this case reflects the first report of pathology proven bilateral lung and diaphragm endometriosis.

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References

    1. Schwarz O. Endometriosis of the Lung. Am J Obstet Gynecol. 1938;36:887–889
    1. Maurer ER, Schaal JA, Mendez FL., Jr Chronic recurring spontaneous pneumothorax due to endometriosis of the diaphragm. J Am Med Assoc. December 13 1958;168(15):2013–2014 - PubMed
    1. Lillington GA, Mitchell SP, Wood GA. Catamenial pneumothorax. JAMA. March 6 1972;219(10):1328–1332 - PubMed
    1. Nezhat CN, F. Silfen SL. Laparoscopic hysterectomy and bilateral salpingo-oophorectomy using multifire GIA surgical stapler. J Gynecol Surg. 1990;6:185.
    1. Nezhat C, Nicoll LM, Bhagan L, et al. Endometriosis of the diaphragm: four cases treated with a combination of laparoscopy and thoracoscopy. J Minim Invasive Gynecol. Sep-Oct 16 2009;(5):573–580 - PubMed

Publication types

Supplementary concepts