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Clin Radiol. 2014 Mar;69(3):323-30. doi: 10.1016/j.crad.2013.10.014. Epub 2013 Dec 11.

Thoracic endometriosis syndrome: CT and MRI features.

Author information

1
Radiology Department, Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, Université Claude Bernard Lyon 1, Lyon, France. Electronic address: roussetpascal@gmail.com.
2
Gynecologic Department, Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, Lyon, France.
3
Thoracic Surgery Department, Groupe Hospitalier Cochin Hôtel-Dieu, AP-HP, Université Paris Descartes, Paris, France.
4
Pathology Department, Groupe Hospitalier Cochin Hôtel-Dieu, AP-HP, Université Paris Descartes, Paris, France.
5
Radiology Department, Groupe Hospitalier Cochin Hôtel-Dieu, AP-HP, Université Paris Descartes, Paris, France.

Abstract

Thoracic endometriosis is considered to be rare, but is the most frequent form of extra-abdominopelvic endometriosis. Thoracic endometriosis syndrome affects women of reproductive age. Diagnosis is mainly based on clinical findings, which can include catamenial pneumothorax and haemothorax, non-catamenial endometriosis-related pneumothorax, catamenial haemoptysis, lung nodules, and isolated catamenial chest pain. Symptoms are typically cyclical and recurrent, with a right-sided predominance. Computed tomography (CT) is the first-line imaging method, but is poorly specific; therefore, its main role is to rule out other pulmonary diseases. However, in women with a typical clinical history, some key CT findings may help to confirm this often under-diagnosed syndrome. MRI can also assist with the diagnosis, by showing signal changes typical of haemorrhage within diaphragmatic or pleural lesions.

PMID:
24331768
DOI:
10.1016/j.crad.2013.10.014
[Indexed for MEDLINE]

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