title: Endometriosis-related spontaneous diaphragmatic rupture.
abstract: 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.
authors.affiliation: 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
authors.forename: Frédéric
authors.initials: F
authors.lastname: Triponez
authors.forename: Marco
authors.initials: M
authors.lastname: Alifano
authors.forename: Antonio
authors.initials: A
authors.lastname: Bobbio
authors.forename: Jean-François
authors.initials: JF
authors.lastname: Regnard
mesh_terms: 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