Abstract
Review diaphragmatic endometriosis and important diaphragm anatomy for the purpose of treatment.
Case Review.
Pt was brought to the operative room and placed in dorsal lithotomy position. General anesthesia was conducted. Three laparoscopic ports were placed. One was umbilical and two in the lateral abdominal aspects.
We present a 30-year-old nulligravid female with a history of chronic pelvic pain, catamenial pain with breathing, infertility, and Stage III endometriosis.
Patient was taken to the operating room for excision of endometriosis, peritoneal stripping, appendectomy, and excision of diaphragmatic endometriosis in a joint case with general surgery.
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This video successfully reviewed the symptoms, incidence, and etiology of diaphragmatic endometriosis. Appropriate imaging for diagnosis and pre-operative workup with MRI was overviewed. We also discussed the anatomy and innervation of the diaphragm as well as surgical considerations for removal of endometriosis of the diaphragm.