CT and MRI findings of bronchopulmonary endometriosis: a case presentation

Sanada, T.; Park, Jinho; Hagiwara, Masaru; Ikeda, Norihiko; Nagai, Takeshi; Matsubayashi, Jun; Saito, Kazuhiro

doi:10.1177/2058460118801164

Cited by 7 publications

(3 citation statements)

References 10 publications

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“…In the recent literature, magnetic resonance imaging has emerged as the preferred radiological exam for the diagnosis of TES-related lesions. In particular, it showed high accuracy in the detection of diaphragmatic and pericardial endometriotic lesions [ 20 ] but it might also have a relevant role in the case of visceral, parietal pleural, or bronchopulmonary endometriosis [ 19 , 21 ]. Chest-abdomen magnetic resonance can provide all the information necessary to establish the correct path, whether it is surgical or not.…”

Section: Discussionmentioning

confidence: 99%

Catamenial Pneumothorax as the First Expression of Thoracic Endometriosis Syndrome and Pelvic Endometriosis

Ciriaco

Muriana

Carretta

et al. 2022

JCM

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Objective: The menstrual-related catamenial pneumothorax (CP) can be the first expression of thoracic endometriosis syndrome (TES), which is the presence of endometriotic lesions in the lungs and pleura, and pelvic endometriosis (PE). This study aims to analyze our experience with this specific correlation describing our multidisciplinary approach to CP. Methods: Hospital records of 32 women, operated for CP at our Department from January 2001 to December 2021 were reviewed. Surgical treatment consisted of videothoracoscopy and laparoscopy when indicated. Results: TES and PE were diagnosed in 13 (40.6%) and 12 (37.5%) women, respectively. The association of TES and PE was present in 11 cases (34%). Fifteen patients (46.9%) underwent laparoscopy, of which 11 concurrently with videothoracoscopy. Most of the patients affected had stage III–IV endometriosis (40.6%). All patients received hormonal therapy after surgery. Five patients with PE conceived spontaneously resulting in six live births. The mean follow-up was 117 ± 71 months (range 8–244). Pneumothorax recurrence occurred in six patients (18.8%). At present, all women are asymptomatic, with no sign of pneumothorax recurrence. Conclusions: CP might be the first expression of TES and/or PE. A multidisciplinary approach is advocated for optimal management of the disease.

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Section: Discussionmentioning

confidence: 99%

Catamenial Pneumothorax as the First Expression of Thoracic Endometriosis Syndrome and Pelvic Endometriosis

Ciriaco

Muriana

Carretta

et al. 2022

JCM

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“…51 In the appropriate clinical setting, a nodule with high signal intensity on T1-weighted images, high signal intensity on T2weighted fat-saturated images, enhancement post gadolinium and restriction on DWI is suggestive of endometriosis. [52][53][54][55] In patients with high clinical suspicion of thoracic endometriosis, T1-weighted imaging is the most important. However, post gadolinium sequences and DWI may add additional supportive evidence to increase diagnostic certainty (Figure 11).…”

Section: Less Common Indicationsmentioning

confidence: 99%

Canadian Society of Thoracic Radiology/Canadian Association of Radiologists Clinical Practice Guidance for Non-Vascular Thoracic MRI

et al. 2021

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Historically thoracic MRI has been limited by the lower proton density of lung parenchyma, cardiac and respiratory motion artifacts and long acquisition times. Recent technological advancements in MR hardware systems and improvement in MR pulse sequences have helped overcome these limitations and expand clinical opportunities for non-vascular thoracic MRI. Non-vascular thoracic MRI has been established as a problem-solving imaging modality for characterization of thymic, mediastinal, pleural chest wall and superior sulcus tumors and for detection of endometriosis. It is increasingly recognized as a powerful imaging tool for detection and characterization of lung nodules and for assessment of lung cancer staging. The lack of ionizing radiation makes thoracic MRI an invaluable imaging modality for young patients, pregnancy and for frequent serial follow-up imaging. Lack of familiarity and exposure to non-vascular thoracic MRI and lack of consistency in existing MRI protocols have called for clinical practice guidance. The purpose of this guide, which was developed by the Canadian Society of Thoracic Radiology and endorsed by the Canadian Association of Radiologists, is to familiarize radiologists, other interested clinicians and MR technologists with common and less common clinical indications for non-vascular thoracic MRI, discuss the fundamental imaging findings and focus on basic and more advanced MRI sequences tailored to specific clinical questions.

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“…Pelvic pain, dyspareunia, dysmenorrhea, and infertility are the most common clinical symptoms of the endometriosis [2]. Endometriosis is most commonly found in the pelvic cavity, such as the ovaries and fallopian tubes, but can develop in any organ and has been reported in the lungs, liver, pleura, brain and skin [3][4][5]. It is important to note that deep infiltrating endometriosis (DIE) can also occur in the intestine [5].…”

Section: Introductionmentioning

confidence: 99%

“Umbilical mass”: a case of primary umbilical endometriosis and literature review

Pan¹,

Tang²,

Li³

et al. 2021

Clin. Exp. Obstet. Gynecol.

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Background: To report on a case of primary Umbilical Endometriosis (PUE). Case: We report a new rare case of PUE in a 45-year-old woman arising in the umbilicus, presenting as three purple-blue firm masses with a smooth surface, and clear borders. The patient presented to our hospital with a complaint of dark-red blood flowing out of the umbilical fossa accompanied by periodic menstrual pain for more than a year. PUE was initially diagnosed based on clinical signs and imaging studies and the mass was widely excised. The postoperative histologic examination of the tissue confirmed the diagnosis of PUE. Conclusion: PUE is a rare umbilical disorder. Its diagnosis may be complicated due to clinician lack of knowledge. The possibility of endometriosis must be considered during the evaluation of an umbilical mass despite the absence of any previous surgery, with special attention to menstrual symptoms or bloody discharge.

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CT and MRI findings of bronchopulmonary endometriosis: a case presentation

Cited by 7 publications

References 10 publications

Catamenial Pneumothorax as the First Expression of Thoracic Endometriosis Syndrome and Pelvic Endometriosis

Catamenial Pneumothorax as the First Expression of Thoracic Endometriosis Syndrome and Pelvic Endometriosis

Canadian Society of Thoracic Radiology/Canadian Association of Radiologists Clinical Practice Guidance for Non-Vascular Thoracic MRI

“Umbilical mass”: a case of primary umbilical endometriosis and literature review

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