Pericardial, pleural and diaphragmatic endometriosis in association
with pelvic peritoneal and bowel endometriosis: a case report
and review of the literature

Marcello Ceccaroni; Giovanni Roviglione; Piergiorgio Rosenberg; Anna Pesci; Roberto Clarizia; Francesco Bruni; Claudio Zardini; Giacomo Ruffo; Angelo Placci; Stefano Crippa; Luca Minelli

doi:10.5114/wiitm.2011.26758

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

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abstract:

Case report

Pericardial, pleural and diaphragmatic endometriosis in association with pelvic peritoneal and bowel endometriosis: a case report and review of the literature

Marcello Ceccaroni

,

Giovanni Roviglione

,

Piergiorgio Rosenberg

,

Anna Pesci

,

Roberto Clarizia

,

Francesco Bruni

,

Claudio Zardini

,

Giacomo Ruffo

,

Angelo Placci

,

Stefano Crippa

,

Luca Minelli

Videosurgery and Other Miniinvasive Techniques 2012; 7 (2): 122-131

DOI: https://doi.org/10.5114/wiitm.2011.26758

Online publish date: 2012/01/26

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AMA

Ceccaroni M, Roviglione G, Rosenberg P, et al. Pericardial, pleural and diaphragmatic endometriosis in association
with pelvic peritoneal and bowel endometriosis: a case report
and review of the literature. Videosurgery and Other Miniinvasive Techniques. 2012;7(2):122-131. doi:10.5114/wiitm.2011.26758.

APA

Ceccaroni, M., Roviglione, G., Rosenberg, P., Pesci, A., Clarizia, R.,  & Bruni, F. et al. (2012). Pericardial, pleural and diaphragmatic endometriosis in association
with pelvic peritoneal and bowel endometriosis: a case report
and review of the literature. Videosurgery and Other Miniinvasive Techniques, 7(2), 122-131. https://doi.org/10.5114/wiitm.2011.26758

Chicago

Ceccaroni, Marcello, Giovanni Roviglione, Piergiorgio Rosenberg, Anna Pesci, Roberto Clarizia, Francesco Bruni,  and Claudio Zardini et al. 2012. "Pericardial, pleural and diaphragmatic endometriosis in association
with pelvic peritoneal and bowel endometriosis: a case report
and review of the literature". Videosurgery and Other Miniinvasive Techniques 7 (2): 122-131. doi:10.5114/wiitm.2011.26758.

Harvard

Ceccaroni, M., Roviglione, G., Rosenberg, P., Pesci, A., Clarizia, R., Bruni, F., Zardini, C., Ruffo, G., Placci, A., Crippa, S.,  and Minelli, L. (2012). Pericardial, pleural and diaphragmatic endometriosis in association
with pelvic peritoneal and bowel endometriosis: a case report
and review of the literature. Videosurgery and Other Miniinvasive Techniques, 7(2), pp.122-131. https://doi.org/10.5114/wiitm.2011.26758

MLA

Ceccaroni, Marcello et al. "Pericardial, pleural and diaphragmatic endometriosis in association
with pelvic peritoneal and bowel endometriosis: a case report
and review of the literature." Videosurgery and Other Miniinvasive Techniques, vol. 7, no. 2, 2012, pp. 122-131. doi:10.5114/wiitm.2011.26758.

Vancouver

Ceccaroni M, Roviglione G, Rosenberg P, Pesci A, Clarizia R, Bruni F et al. Pericardial, pleural and diaphragmatic endometriosis in association
with pelvic peritoneal and bowel endometriosis: a case report
and review of the literature. Videosurgery and Other Miniinvasive Techniques. 2012;7(2):122-131. doi:10.5114/wiitm.2011.26758.

PlumX metrics:

Diaphragmatic endometriosis is a rare entity, often asymptomatic, which has been described only in small series. It is almost always associated with severe pelvic involvement. The most plausible theory about this condition is based on retrograde menstruation and subsequent transportation of viable cells in peritoneal fluid from the pelvis up the right gutter to the right hemidiaphragm, thus demonstrating its asymmetric distribution on the diaphragm. Pre-operative diagnosis is poorly supported by imaging techniques. In most cases, it is an incidental finding because the lesions may hide behind the right hepatic lobe. In that case it cannot be easily demonstrated with a laparoscope from an umbilical port. Symptomatic diaphragmatic endometriosis is associated with deep lesions which can involve the entire thickness of the diaphragm. In these cases, treatment is more difficult with possible incomplete pain relief and a considerable possibility of recurrence. In this subset, abdominal surgery is recommended. Surgical treatment must be individualized on the basis of the patient’s age, fertility desires, type and location of disease and symptoms. We report the surgical treatment of a patient with synchronous pericardial, pleural and diaphragmatic endometriosis associated with pelvic peritoneal and bowel involvement. A review of the literature regarding pericardial and diaphragmatic endometriosis focusing on anatomical and surgical aspects of its management is undertaken.

keywords:

Pericardial, pleural and diaphragmatic endometriosis in association with pelvic peritoneal and bowel endometriosis: a case report and review of the literature

Marcello Ceccaroni , Giovanni Roviglione , Piergiorgio Rosenberg , Anna Pesci , Roberto Clarizia , Francesco Bruni , Claudio Zardini , Giacomo Ruffo , Angelo Placci , Stefano Crippa , Luca Minelli

endometriosis, bowel, laparoscopy, diaphragm, pericardium, pleura

Marcello Ceccaroni

,

Giovanni Roviglione

,

Piergiorgio Rosenberg

,

Anna Pesci

,

Roberto Clarizia

,

Francesco Bruni

,

Claudio Zardini

,

Giacomo Ruffo

,

Angelo Placci

,

Stefano Crippa

,

Luca Minelli