A surgical series on endometriosis-related diaphragmatic hernia

Background Thoracic endometriosis syndrome gives rise to various clinical and radiological manifestations. We reviewed the records of patients operated for intrathoracic migration of abdominal viscera through a diaphragmatic hernia secondary to thoracic endometriosis. Methods We retrospectively revi...

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Bibliographic Details
Published in:General thoracic and cardiovascular surgery 2024-10, Vol.72 (10), p.668-673
Main Authors: Bobbio, Antonio, Gherzi, Lorenzo, Tormen, Francesco, Sion, Antoine, Prieto, Mathilde, Daffre, Elisa, Fournel, Ludovic, Alifano, Marco
Format: Article
Language:English
Subjects:
Abdomen
Cardiac Surgery
Cardiology
Cysts
Diaphragm (Anatomy)
Endometriosis
Hemothorax
Hernias
Intervention
Medicine
Medicine & Public Health
Original Article
Ostomy
Pain
Patients
Pleural effusion
Pneumothorax
Prostheses
Surgical Oncology
Thoracic Surgery
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Summary:Background Thoracic endometriosis syndrome gives rise to various clinical and radiological manifestations. We reviewed the records of patients operated for intrathoracic migration of abdominal viscera through a diaphragmatic hernia secondary to thoracic endometriosis. Methods We retrospectively reviewed the single-center prospective collected database of all patients operated for thoracic endometriosis during the twenty years. All cases in which an abdominal organ was found to be herniated into the thoracic cavity were retrieved. Clinical and pathological data are presented and analyzed. Results Twenty women of median age 36 (range 25–58) years were operated for endometriosis-related diaphragmatic hernia. The hernia was diagnosed concomitantly with endometriosis-related pneumothorax in 13 cases and during the exploration of catamenial thoracic pain in seven cases. There were 18 cases on the right side and two cases on the left side. The median diameter of the hernia was 8 cm (2.5–20 cm). In seventeen cases, the hernia was repaired by direct suture, and in three cases a heterologous prosthesis was positioned. At follow-up, two patients had an episode of recurrent pneumothorax. Conclusions Diaphragmatic hernia should be ruled out in the presence of endometriosis-related pneumothorax or catamenial thoracic pain. Surgery is indicated to make a pathological diagnosis, restore anatomy, and prevent recurrence in patients presenting with pneumothorax.
ISSN:1863-6705
1863-6713
1863-6713
DOI:10.1007/s11748-024-02016-y