ArticleJournal of clinical medicine2023
Diaphragmatic Endometriosis-A Single-Center Retrospective Analysis of the Patients' Demographics, Symptomatology, and Long-Term Treatment Outcomes.
Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 24 citations in OpenAlex.
- Diaphragmatic endometriosis: a practical radiologic guide to diagnosis, mapping, and multidisciplinary surgical planning.Abdominal radiology (New York) · 2026Review
- Definitive diagnosis and surgical management of pleural and diaphragmatic endometriosis: a case report.Journal of cardiothoracic surgery · 2026Article
- Robot-assisted resection of diaphragmatic and hepatorenal recess peritoneal endometriosis: Two cases and a narrative review.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Review
- Optimizing endometriosis detection: a review of technical approaches and interpretative pitfalls.Abdominal radiology (New York) · 2026Review
- Role of computed tomography in imaging of endometriosis.Abdominal radiology (New York) · 2025Review
- Looking at the tip of the iceberg: a case report discussing the diagnosis and management of coexistent diaphragmatic and thoracic endometriosis.Annals of medicine and surgery (2012) · 2025Article
- From First Breathless Episode to Final Diagnosis and Treatment: A Case Report on Thoracic Endometriosis Syndrome.Journal of clinical medicine · 2025Article
- Diaphragmatic endometriosis associated with pelvic endometriosis: a case report.BMC women's health · 2025Article
- The Perception of the Diaphragm with Ultrasound: Always There Yet Overlooked?Life (Basel, Switzerland) · 2025Review
- Co-existence of the abdominal wall and thoracic endometriosis: case report and literature review.Frontiers in medicine · 2025Article
- Mapping deep endometriosis in patients with ovarian endometriomas according to the #Enzian classification: a single-center retrospective analysis.Frontiers in medicine · 2025Article
- Thoracic Endometriosis Syndrome: A Comprehensive Review and Multidisciplinary Approach to Management.Journal of clinical medicine · 2024Review
- Endometriosis of the Diaphragm.Radiographics : a review publication of the Radiological Society of North America, Inc · 2024Article
- Spontaneous bilothorax without previous surgery or trauma, a case report.Journal of surgical case reports · 2024Article
- A bird-eye view of diaphragmatic endometriosis: current practices and future perspectives.Frontiers in medicine · 2024Review
- Robotic surgery for deep-infiltrating endometriosis: is it time to take a step forward?Frontiers in medicine · 2024Review
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Diaphragmatic endometriosis is rare and forms 0.67-4.7% of all endometriosis cases. Evidence regarding its optimal management is lacking. In this study, we retrospectively analyzed the patient characteristics and long-term treatment outcomes of diaphragmatic endometriosis patients. Over a 4-year period, 23 patients were diagnosed with diaphragmatic endometriosis. The majority of patients had coexisting deep pelvic endometriosis. Cyclic upper abdominal pain was reported by 60.9% of patients, while cyclic chest and shoulder pain were reported by 43.5% and 34.8% of patients, respectively. Most patients were treated with laparoscopic lesion ablation, while 21.1% were treated with minimally invasive excision. The mean follow-up time was 23.7 months. Long-lasting resolution of the chest, abdominal, and shoulder pain occurred in 50%, 35.7%, and 25% of patients, respectively. Nonetheless, 78.9% of patients reported major improvement in their symptoms postoperatively. Significantly higher rates of postoperative shoulder, abdominal, and chest pain were observed in patients who received postoperative hormonal therapy compared with those who did not. All patients treated expectantly remained stable. Therefore, we recommend treating diaphragmatic endometriosis only in symptomatic patients. The risk of incomplete surgery should be minimized by a multidisciplinary diagnostic and therapeutic approach with a careful assessment of the diaphragm and the thoracic cavity.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.