Diaphragmatic endometriosis associated with pelvic endometriosis: a case report
Abstract Background Thoracic endometriosis is characterized by the presence of endometrial tissue in or around lungs and on the diaphragm and is frequently associated with pelvic endometriosis. Case presentation In this case report, a 22-year-old Caucasian patient reported right hypochondrium pain w...
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2025-07-01
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| Series: | BMC Women's Health |
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| Online Access: | https://doi.org/10.1186/s12905-025-03847-4 |
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| author | Rafael Tito Marques de Matos Maria Célia Mendes Maíra Cristina Ribeiro Andrade Carolina Gennari Verruma Rui Alberto Ferriani Rosana Maria dos Reis |
| author_facet | Rafael Tito Marques de Matos Maria Célia Mendes Maíra Cristina Ribeiro Andrade Carolina Gennari Verruma Rui Alberto Ferriani Rosana Maria dos Reis |
| author_sort | Rafael Tito Marques de Matos |
| collection | DOAJ |
| description | Abstract Background Thoracic endometriosis is characterized by the presence of endometrial tissue in or around lungs and on the diaphragm and is frequently associated with pelvic endometriosis. Case presentation In this case report, a 22-year-old Caucasian patient reported right hypochondrium pain without other associated symptoms and was diagnosed with cholelithiasis. She underwent laparoscopic cholecystectomy, and an abdominal cavity examination revealed a diaphragmatic endometriotic nodule and endometriosis foci in the right diaphragm, pelvic ligaments, and left adnexal area. During the procedure, excision of the diaphragmatic endometriotic nodule and cauterization of the larger endometriosis foci in the diaphragm were also performed. After surgery, hormone therapy was administered as complementary treatment, which included a depot gonadotrophin-releasing hormone (GnRH) agonist for 5 months, followed by drospirenone 4 mg/day for 3 months. At the follow-up visit, the patient reported an improvement in right hypochondrium pain after surgery and complete remission after clinical treatment. Magnetic resonance imaging (MRI) performed before and after 6 months following the initiation of hormone therapy revealed a regression of diaphragmatic and pelvic endometriosis foci. Conclusion In our case, the combination of surgical treatment and hormone therapy was effective for managing pelvic and diaphragmatic endometriosis. |
| format | Article |
| id | doaj-art-7de4eb8189cd47b8b2dbfa85162aa428 |
| institution | Kabale University |
| issn | 1472-6874 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Women's Health |
| spelling | doaj-art-7de4eb8189cd47b8b2dbfa85162aa4282025-08-20T03:45:32ZengBMCBMC Women's Health1472-68742025-07-012511710.1186/s12905-025-03847-4Diaphragmatic endometriosis associated with pelvic endometriosis: a case reportRafael Tito Marques de Matos0Maria Célia Mendes1Maíra Cristina Ribeiro Andrade2Carolina Gennari Verruma3Rui Alberto Ferriani4Rosana Maria dos Reis5Department of Gynecology and Obstetrics, Ribeirão Preto Medical School, University of São PauloDepartment of Gynecology and Obstetrics, Ribeirão Preto Medical School, University of São PauloDepartment of Gynecology and Obstetrics, Ribeirão Preto Medical School, University of São PauloDepartment of Gynecology and Obstetrics, Ribeirão Preto Medical School, University of São PauloDepartment of Gynecology and Obstetrics, Ribeirão Preto Medical School, University of São PauloDepartment of Gynecology and Obstetrics, Ribeirão Preto Medical School, University of São PauloAbstract Background Thoracic endometriosis is characterized by the presence of endometrial tissue in or around lungs and on the diaphragm and is frequently associated with pelvic endometriosis. Case presentation In this case report, a 22-year-old Caucasian patient reported right hypochondrium pain without other associated symptoms and was diagnosed with cholelithiasis. She underwent laparoscopic cholecystectomy, and an abdominal cavity examination revealed a diaphragmatic endometriotic nodule and endometriosis foci in the right diaphragm, pelvic ligaments, and left adnexal area. During the procedure, excision of the diaphragmatic endometriotic nodule and cauterization of the larger endometriosis foci in the diaphragm were also performed. After surgery, hormone therapy was administered as complementary treatment, which included a depot gonadotrophin-releasing hormone (GnRH) agonist for 5 months, followed by drospirenone 4 mg/day for 3 months. At the follow-up visit, the patient reported an improvement in right hypochondrium pain after surgery and complete remission after clinical treatment. Magnetic resonance imaging (MRI) performed before and after 6 months following the initiation of hormone therapy revealed a regression of diaphragmatic and pelvic endometriosis foci. Conclusion In our case, the combination of surgical treatment and hormone therapy was effective for managing pelvic and diaphragmatic endometriosis.https://doi.org/10.1186/s12905-025-03847-4Diaphragmatic endometriosisEndometrial tissueLaparoscopyExtrapelvic endometriosis |
| spellingShingle | Rafael Tito Marques de Matos Maria Célia Mendes Maíra Cristina Ribeiro Andrade Carolina Gennari Verruma Rui Alberto Ferriani Rosana Maria dos Reis Diaphragmatic endometriosis associated with pelvic endometriosis: a case report BMC Women's Health Diaphragmatic endometriosis Endometrial tissue Laparoscopy Extrapelvic endometriosis |
| title | Diaphragmatic endometriosis associated with pelvic endometriosis: a case report |
| title_full | Diaphragmatic endometriosis associated with pelvic endometriosis: a case report |
| title_fullStr | Diaphragmatic endometriosis associated with pelvic endometriosis: a case report |
| title_full_unstemmed | Diaphragmatic endometriosis associated with pelvic endometriosis: a case report |
| title_short | Diaphragmatic endometriosis associated with pelvic endometriosis: a case report |
| title_sort | diaphragmatic endometriosis associated with pelvic endometriosis a case report |
| topic | Diaphragmatic endometriosis Endometrial tissue Laparoscopy Extrapelvic endometriosis |
| url | https://doi.org/10.1186/s12905-025-03847-4 |
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