A Diaphragmatic Rupture Due to Endometriosis and Iatrogenic Origin

Randrianambinina Fanomezantsoa; Jonatana Arthur Daniel; Le Pimpec Barthes Françoise; Rakotovao Hanitrala Jean Louis

doi:doi:10.11648/j.jgo.20221006.17

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A Diaphragmatic Rupture Due to Endometriosis and Iatrogenic Origin

Randrianambinina Fanomezantsoa, Jonatana Arthur Daniel, Le Pimpec Barthes Françoise, Rakotovao Hanitrala Jean Louis

Published in Journal of Gynecology and Obstetrics (Volume 10, Issue 6)

Received: 21 November 2022 Accepted: 9 December 2022 Published: 29 December 2022

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Abstract

Introduction: A diaphragmatic rupture may have traumatic origin but may also have other causes such as endometriosis or iatrogenic origin. We report a rare case of right diaphragmatic rupture in a woman with thoracic and abdominal endometriosis that was treated surgically on the diaphragm. Observation: She was a 39-year-old woman diagnosed with thoracic and abdominal endometriosis in 2005 and had been performed with a talcage and stapling of an endometriosis nodule at the phrenic center by thoracoscopy and then operated twice with abdominal and gynecologic surgeries. She presented at the entrance of our service a bubble of emphysema, a chronic right pleural effusion and an image of a right diaphragmatic hernia with staples around the bank of the diaphragmatic perforation indicating a surgical re-intervention for diaphragmatic repair. She had, by a right lateral thoracotomy, a reparation of the diaphragmatic rupture with a non-resorbable prosthetic material. Conclusion: For diaphragmatic lesions or perforations, resection using the endoscopic stapler device is the most appropriate approach. Though, the diaphragm is weakened by endometriosis, and a small diathermic lesion or a small injury by the staples may enlarge. Even iatrogenic diaphragmatic hernias are rare, stapling should be avoided, and opt for resection or a manual diaphragmatic fold and suture by using of prosthetic materials.

Published in	Journal of Gynecology and Obstetrics (Volume 10, Issue 6)
DOI	10.11648/j.jgo.20221006.17
Page(s)	275-278
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Diaphragm, Endometriosis, Hernia, Prosthetic Materials, Rupture

References

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[5]	Legras, Antoine, Audrey Mansuet-Lupo, Christine Rousset-Jablonski, and Antonio Bobbio, et al. “Pneumothorax in women of child-bearing age: an update classification based on clinical and pathologic findings”. Chest 145.2 (2014): 354–60.
[6]	Alifano, Marco, Antoine Legras, Christine Rousset-Jablonski, and Antonio Bobbio, et al. “Pneumothorax recurrence after surgery in women: clinicopathologic characteristics and management”. Ann Thorac Surg 92.1 (2011): 322–6.
[7]	Triponez, Frédéric, Marco Alifano, Antonio Bobbio, and Jean-François Regnard. “Endometriosis-related spontaneous diaphragmatic rupture”. Interact Cardiovasc Thorac Surg 11.4 (2010): 485–7.
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[14]	Alifano, Marco, Christine Jablonski, Habiba Kadiri, and Pierre Falcoz, et al. “Catamenial and noncatamenial, endometriosis-related or nonendometriosis-related pneumothorax referred for surgery”. Am J Respir Crit Care Med 176.10 (2007): 1048–53.
[15]	Bini, Roberto, Diego Fontana, Alesandro Longo, and Paolo Manconi, et al. “Repair of diaphragmatic hernia following spinal surgery by laparoscopic mesh application: a case report and review of the literature”. World Journal of Emergency Surgery 9 (2014): 34.
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APA Style

Randrianambinina Fanomezantsoa, Jonatana Arthur Daniel, Le Pimpec Barthes Françoise, Rakotovao Hanitrala Jean Louis. (2022). A Diaphragmatic Rupture Due to Endometriosis and Iatrogenic Origin. Journal of Gynecology and Obstetrics, 10(6), 275-278. https://doi.org/10.11648/j.jgo.20221006.17

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ACS Style

Randrianambinina Fanomezantsoa; Jonatana Arthur Daniel; Le Pimpec Barthes Françoise; Rakotovao Hanitrala Jean Louis. A Diaphragmatic Rupture Due to Endometriosis and Iatrogenic Origin. J. Gynecol. Obstet. 2022, 10(6), 275-278. doi: 10.11648/j.jgo.20221006.17

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AMA Style

Randrianambinina Fanomezantsoa, Jonatana Arthur Daniel, Le Pimpec Barthes Françoise, Rakotovao Hanitrala Jean Louis. A Diaphragmatic Rupture Due to Endometriosis and Iatrogenic Origin. J Gynecol Obstet. 2022;10(6):275-278. doi: 10.11648/j.jgo.20221006.17

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@article{10.11648/j.jgo.20221006.17,
  author = {Randrianambinina Fanomezantsoa and Jonatana Arthur Daniel and Le Pimpec Barthes Françoise and Rakotovao Hanitrala Jean Louis},
  title = {A Diaphragmatic Rupture Due to Endometriosis and Iatrogenic Origin},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {10},
  number = {6},
  pages = {275-278},
  doi = {10.11648/j.jgo.20221006.17},
  url = {https://doi.org/10.11648/j.jgo.20221006.17},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20221006.17},
  abstract = {Introduction: A diaphragmatic rupture may have traumatic origin but may also have other causes such as endometriosis or iatrogenic origin. We report a rare case of right diaphragmatic rupture in a woman with thoracic and abdominal endometriosis that was treated surgically on the diaphragm. Observation: She was a 39-year-old woman diagnosed with thoracic and abdominal endometriosis in 2005 and had been performed with a talcage and stapling of an endometriosis nodule at the phrenic center by thoracoscopy and then operated twice with abdominal and gynecologic surgeries. She presented at the entrance of our service a bubble of emphysema, a chronic right pleural effusion and an image of a right diaphragmatic hernia with staples around the bank of the diaphragmatic perforation indicating a surgical re-intervention for diaphragmatic repair. She had, by a right lateral thoracotomy, a reparation of the diaphragmatic rupture with a non-resorbable prosthetic material. Conclusion: For diaphragmatic lesions or perforations, resection using the endoscopic stapler device is the most appropriate approach. Though, the diaphragm is weakened by endometriosis, and a small diathermic lesion or a small injury by the staples may enlarge. Even iatrogenic diaphragmatic hernias are rare, stapling should be avoided, and opt for resection or a manual diaphragmatic fold and suture by using of prosthetic materials.},
 year = {2022}
}

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TY  - JOUR
T1  - A Diaphragmatic Rupture Due to Endometriosis and Iatrogenic Origin
AU  - Randrianambinina Fanomezantsoa
AU  - Jonatana Arthur Daniel
AU  - Le Pimpec Barthes Françoise
AU  - Rakotovao Hanitrala Jean Louis
Y1  - 2022/12/29
PY  - 2022
N1  - https://doi.org/10.11648/j.jgo.20221006.17
DO  - 10.11648/j.jgo.20221006.17
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 275
EP  - 278
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20221006.17
AB  - Introduction: A diaphragmatic rupture may have traumatic origin but may also have other causes such as endometriosis or iatrogenic origin. We report a rare case of right diaphragmatic rupture in a woman with thoracic and abdominal endometriosis that was treated surgically on the diaphragm. Observation: She was a 39-year-old woman diagnosed with thoracic and abdominal endometriosis in 2005 and had been performed with a talcage and stapling of an endometriosis nodule at the phrenic center by thoracoscopy and then operated twice with abdominal and gynecologic surgeries. She presented at the entrance of our service a bubble of emphysema, a chronic right pleural effusion and an image of a right diaphragmatic hernia with staples around the bank of the diaphragmatic perforation indicating a surgical re-intervention for diaphragmatic repair. She had, by a right lateral thoracotomy, a reparation of the diaphragmatic rupture with a non-resorbable prosthetic material. Conclusion: For diaphragmatic lesions or perforations, resection using the endoscopic stapler device is the most appropriate approach. Though, the diaphragm is weakened by endometriosis, and a small diathermic lesion or a small injury by the staples may enlarge. Even iatrogenic diaphragmatic hernias are rare, stapling should be avoided, and opt for resection or a manual diaphragmatic fold and suture by using of prosthetic materials.
VL  - 10
IS  - 6
ER  -

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Author Information

Randrianambinina Fanomezantsoa

Department of Thoracic Surgery in AP-HP European Hospital Georges Pompidou, Decartes University, Paris, France
Jonatana Arthur Daniel

Department of Thoracic Surgery in AP-HP European Hospital Georges Pompidou, Decartes University, Paris, France
Le Pimpec Barthes Françoise
Rakotovao Hanitrala Jean Louis

Thoracic Surgery Department in Teaching Hospital Joseph Ravoahangy Andrianavalona (CHU-JRA), University of Antananarivo, Antananarivo, Madagascar

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APA Style

Randrianambinina Fanomezantsoa, Jonatana Arthur Daniel, Le Pimpec Barthes Françoise, Rakotovao Hanitrala Jean Louis. (2022). A Diaphragmatic Rupture Due to Endometriosis and Iatrogenic Origin. Journal of Gynecology and Obstetrics, 10(6), 275-278. https://doi.org/10.11648/j.jgo.20221006.17

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ACS Style

Randrianambinina Fanomezantsoa; Jonatana Arthur Daniel; Le Pimpec Barthes Françoise; Rakotovao Hanitrala Jean Louis. A Diaphragmatic Rupture Due to Endometriosis and Iatrogenic Origin. J. Gynecol. Obstet. 2022, 10(6), 275-278. doi: 10.11648/j.jgo.20221006.17

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AMA Style

Randrianambinina Fanomezantsoa, Jonatana Arthur Daniel, Le Pimpec Barthes Françoise, Rakotovao Hanitrala Jean Louis. A Diaphragmatic Rupture Due to Endometriosis and Iatrogenic Origin. J Gynecol Obstet. 2022;10(6):275-278. doi: 10.11648/j.jgo.20221006.17

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@article{10.11648/j.jgo.20221006.17,
  author = {Randrianambinina Fanomezantsoa and Jonatana Arthur Daniel and Le Pimpec Barthes Françoise and Rakotovao Hanitrala Jean Louis},
  title = {A Diaphragmatic Rupture Due to Endometriosis and Iatrogenic Origin},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {10},
  number = {6},
  pages = {275-278},
  doi = {10.11648/j.jgo.20221006.17},
  url = {https://doi.org/10.11648/j.jgo.20221006.17},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20221006.17},
  abstract = {Introduction: A diaphragmatic rupture may have traumatic origin but may also have other causes such as endometriosis or iatrogenic origin. We report a rare case of right diaphragmatic rupture in a woman with thoracic and abdominal endometriosis that was treated surgically on the diaphragm. Observation: She was a 39-year-old woman diagnosed with thoracic and abdominal endometriosis in 2005 and had been performed with a talcage and stapling of an endometriosis nodule at the phrenic center by thoracoscopy and then operated twice with abdominal and gynecologic surgeries. She presented at the entrance of our service a bubble of emphysema, a chronic right pleural effusion and an image of a right diaphragmatic hernia with staples around the bank of the diaphragmatic perforation indicating a surgical re-intervention for diaphragmatic repair. She had, by a right lateral thoracotomy, a reparation of the diaphragmatic rupture with a non-resorbable prosthetic material. Conclusion: For diaphragmatic lesions or perforations, resection using the endoscopic stapler device is the most appropriate approach. Though, the diaphragm is weakened by endometriosis, and a small diathermic lesion or a small injury by the staples may enlarge. Even iatrogenic diaphragmatic hernias are rare, stapling should be avoided, and opt for resection or a manual diaphragmatic fold and suture by using of prosthetic materials.},
 year = {2022}
}

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TY  - JOUR
T1  - A Diaphragmatic Rupture Due to Endometriosis and Iatrogenic Origin
AU  - Randrianambinina Fanomezantsoa
AU  - Jonatana Arthur Daniel
AU  - Le Pimpec Barthes Françoise
AU  - Rakotovao Hanitrala Jean Louis
Y1  - 2022/12/29
PY  - 2022
N1  - https://doi.org/10.11648/j.jgo.20221006.17
DO  - 10.11648/j.jgo.20221006.17
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 275
EP  - 278
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20221006.17
AB  - Introduction: A diaphragmatic rupture may have traumatic origin but may also have other causes such as endometriosis or iatrogenic origin. We report a rare case of right diaphragmatic rupture in a woman with thoracic and abdominal endometriosis that was treated surgically on the diaphragm. Observation: She was a 39-year-old woman diagnosed with thoracic and abdominal endometriosis in 2005 and had been performed with a talcage and stapling of an endometriosis nodule at the phrenic center by thoracoscopy and then operated twice with abdominal and gynecologic surgeries. She presented at the entrance of our service a bubble of emphysema, a chronic right pleural effusion and an image of a right diaphragmatic hernia with staples around the bank of the diaphragmatic perforation indicating a surgical re-intervention for diaphragmatic repair. She had, by a right lateral thoracotomy, a reparation of the diaphragmatic rupture with a non-resorbable prosthetic material. Conclusion: For diaphragmatic lesions or perforations, resection using the endoscopic stapler device is the most appropriate approach. Though, the diaphragm is weakened by endometriosis, and a small diathermic lesion or a small injury by the staples may enlarge. Even iatrogenic diaphragmatic hernias are rare, stapling should be avoided, and opt for resection or a manual diaphragmatic fold and suture by using of prosthetic materials.
VL  - 10
IS  - 6
ER  -

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