Evidence map›Paper›PMID 40611073›Full record

ArticleBMC women's health2025

Diaphragmatic endometriosis associated with pelvic endometriosis: a case report.

Rafael Tito Marques de Matos, Maria Célia Mendes, Maíra Cristina Ribeiro Andrade, Carolina Gennari Verruma, Rui Alberto Ferriani, Rosana Maria Dos Reis

Abstract readCase Reports
In one paragraph

Article in BMC women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. 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 · 2026
    Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Rafael Tito Marques de MatosDepartment of Gynecology and Obstetrics, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.
Maria Célia MendesDepartment of Gynecology and Obstetrics, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.
Maíra Cristina Ribeiro AndradeDepartment of Gynecology and Obstetrics, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.
Carolina Gennari VerrumaDepartment of Gynecology and Obstetrics, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.
Rui Alberto FerrianiDepartment of Gynecology and Obstetrics, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.
Rosana Maria Dos ReisDepartment of Gynecology and Obstetrics, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil. romareis@fmrp.usp.br.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThoracic 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.

conclusionIn our case, the combination of surgical treatment and hormone therapy was effective for managing pelvic and diaphragmatic endometriosis.

Indexed as

DiaphragmEndometriosisAndrostenesCholecystectomy, LaparoscopicFemaleGonadotropin-Releasing HormoneHumansMagnetic Resonance ImagingPelvisYoung AdultAndrostenesdrospirenoneGonadotropin-Releasing HormoneDiaphragmatic endometriosisEndometrial tissueExtrapelvic endometriosisLaparoscopy

Identifiers

PMID40611073
PMCPMC12225456

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Registered trials

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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.