Endometriosis-related spontaneous diaphragmatic rupture.
Non-traumatic, spontaneous diaphragmatic rupture is a rare event whose pathophysiology is not known. We report the case of endometriosis-related spontaneous rupture of the right diaphragm with intrathoracic herniation of the liver, gallbladder and colon. We hypothesize that the invasiveness of endometriotic tissue caused diaphragm fragility, which finally lead to its complete rupture without traumatic event. The treatment consisted of a classical management of diaphragmatic rupture, with excision of the endometriotic nodule followed by medical ovarian suppression for six months.
Triponez
Frédéric
F
Department of Thoracic Surgery, Hôtel-Dieu Hospital and University Paris V, 1, place du Parvis de Notre-Dame, 75005 Paris, France. frederic.triponez@hcuge.ch
Alifano
Marco
M
Bobbio
Antonio
A
Regnard
Jean-François
JF
D000328:Adult; D004715:Endometriosis / Q000150:complications* / Q000601:surgery; D005260:Female; D006548:Hernia, Diaphragmatic / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed