Frontiers in medicine · 2026
Unexpected coexistence of diaphragmatic and abdominal wall endometriosis in a case of bilateral ovarian endometriomas: a case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Erraji Hajar, Zarqaoui Mohammed, El Mansouri Fadoua, Louanjli Noureddine, Ghazi Bouchra
Аннотация
INTRODUCTION: Extra-pelvic endometriosis is a rare and complex condition characterized by endometriotic implants located outside the pelvis. It commonly poses significant diagnostic challenges and considerable surgical management difficulties.
CASE PRESENTATION: A 32 year-old primiparous woman presented with severe abdominal pain, deep dyspareunia and right-sided shoulder pain. Laparoscopic excision of deep infiltrating endometriosis on the anterior abdominal wall, under the ovaries and uterosacral ligaments was completely performed as well as pre-vesical shaving and ovarian cystectomy. However, resection of diaphragmatic endometriotic lesion was not performed due to multiple limitations, the procedure was conducted in a gynecology clinic without a multidisciplinary team, including thoracic surgeons and the lack of specialized equipment. The patient received hormone therapy for 5 months, including 2 GnRH agonist injections followed by 3 months of dienogest 2 mg. Abdominal pain resolved completely, however, right-sided shoulder pain became mild and tolerable.
CONCLUSION: This case emphasizes the diagnostic and surgical challenges of extra-pelvic endometriosis and highlights the need of a multidisciplinary and individualized approach.
CASE PRESENTATION: A 32 year-old primiparous woman presented with severe abdominal pain, deep dyspareunia and right-sided shoulder pain. Laparoscopic excision of deep infiltrating endometriosis on the anterior abdominal wall, under the ovaries and uterosacral ligaments was completely performed as well as pre-vesical shaving and ovarian cystectomy. However, resection of diaphragmatic endometriotic lesion was not performed due to multiple limitations, the procedure was conducted in a gynecology clinic without a multidisciplinary team, including thoracic surgeons and the lack of specialized equipment. The patient received hormone therapy for 5 months, including 2 GnRH agonist injections followed by 3 months of dienogest 2 mg. Abdominal pain resolved completely, however, right-sided shoulder pain became mild and tolerable.
CONCLUSION: This case emphasizes the diagnostic and surgical challenges of extra-pelvic endometriosis and highlights the need of a multidisciplinary and individualized approach.