Thoracic Endometriosis Syndrome: Association With Pelvic Endometriosis and Fertility Status

Jessica Ottolina, Francesca De Stefano, Paola Viganò, Paola Ciriaco, Piero Zannini, Zannini P, Massimo Candiani
Journal of Minimally Invasive Gynecology · 2017 · vol. 24(3) , pp. 461–465 · doi:10.1016/j.jmig.2016.12.025 · PMID:28069481 · W2569788866
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This study investigates the relationship between thoracic endometriosis syndrome, pelvic endometriosis, and the fertility status of affected individuals.

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Abstract

STUDY OBJECTIVE: To evaluate associations among catamenial pneumothorax, pelvic endometriosis, and fertility status. DESIGN: Retrospective study (Canadian Task Force classification II-2). SETTING: Departments of Thoracic Surgery and Obstetrics and Gynecology, San Raffaele Hospital, Milan, Italy. PATIENTS: Sixteen females referred to the Department of Thoracic Surgery for treatment of spontaneous pneumothorax between January 2001 and January 2014 and referred to the outpatient clinic for gynecologic follow-up. INTERVENTIONS: Thoracoscopy for catamenial pneumothorax and laparoscopy for pelvic endometriosis. MEASUREMENTS AND MAIN RESULTS: Characteristics of the patients, the presence of endometriosis, and their fertility status were statistically analyzed. Pelvic endometriosis was diagnosed in 9 patients (56.3%), but 6 patients did not undergo a laparoscopic procedure to confirm or exclude the disease. Seven of the affected patients (77.8%) had stage III-IV endometriosis. Two-thirds of the patients with pelvic endometriosis who attempted conception conceived spontaneously, as did all of the patients without histopathological confirmation of endometriosis. CONCLUSION: Thoracic endometriosis syndrome, characterized mainly by catamenial pneumothorax, is a relevant condition in patients affected by endometriosis. However, few previous studies have analyzed this condition from a gynecologic standpoint, in terms of characteristics of endometriosis and fertility status of affected women. Our findings support the presence of a strong association between catamenial pneumothorax and pelvic endometriosis, as well as a minimal effect of catamenial pneumothorax on fertility status, even in the presence of pelvic endometriosis.

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Condition tags

endometriosisthoracic_endometriosis

MeSH descriptors

Endometriosis Fertility Fertility Pneumothorax Adult Adult Endometriosis Endometriosis Endometriosis Female Female Humans Humans Italy Italy Italy Laparoscopy Laparoscopy Middle Aged Middle Aged

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References (20)

Cited by (10)

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License: CC0 · commercial use OK