alexa Thoracic endometriosis syndrome: CT and MRI features.


Emergency Medicine: Open Access

Author(s): Rousset P, RoussetJablonski C, Alifano M, MansuetLupo A, Buy JN,

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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. Copyright © 2013 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved. This article was published in Clin Radiol and referenced in Emergency Medicine: Open Access

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