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- W2963157413 abstract "A 38-year-old woman, nonsmoker, with a history of pelvic endometriosis, presented to the emergency department with acute dyspnea and right chest pain 1 month after an uneventful vaginal delivery. Chest roentgenogram and computed tomographic scan revealed a right pneumothorax and right hepatic lobe herniation into the thoracic cavity (Figure 1). After chest tube insertion, the patient underwent posterolateral thoracotomy. We observed a diaphragmatic rupture (Figure 2), a 5-cm liver herniation through a diaphragmatic fenestration (Figure 3, blue arrow) of the right hemidiaphragm, and numerous brownish oval lesions on the diaphragm, a finding diagnostic of endometrial implants.Figure 3View Large Image Figure ViewerDownload Hi-res image Download (PPT) The liver was reduced into the abdominal cavity, the diaphragm was closed with separated reinforced stitches, and pleurodesis was undertaken. We preferred not to use a mesh to repair the diaphragm because surrounding tissues were solid enough. During a 1-year follow-up period, pneumothorax did not recur. Pneumothorax caused by thoracic endometriosis outside menstrual periods is extremely rare." @default.
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- W2963157413 date "2019-12-01" @default.
- W2963157413 modified "2023-09-29" @default.
- W2963157413 title "Thoracic Endometriosis and Hepatothorax" @default.
- W2963157413 doi "https://doi.org/10.1016/j.athoracsur.2019.05.082" @default.
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