Endometriosis-related spontaneous diaphragmatic rupture

Interact Cardiovasc Thorac Surg. 2010 Oct;11(4):485-7. doi: 10.1510/icvts.2010.243543. Epub 2010 Jul 2.


Non-traumatic, spontaneous diaphragmatic rupture is a rare event whose pathophysiology is not known. We report the case of endometriosis-related spontaneous rupture of the right diaphragm with intrathoracic herniation of the liver, gallbladder and colon. We hypothesize that the invasiveness of endometriotic tissue caused diaphragm fragility, which finally lead to its complete rupture without traumatic event. The treatment consisted of a classical management of diaphragmatic rupture, with excision of the endometriotic nodule followed by medical ovarian suppression for six months.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Endometriosis / complications*
  • Endometriosis / surgery
  • Female
  • Hernia, Diaphragmatic / diagnostic imaging
  • Hernia, Diaphragmatic / etiology*
  • Hernia, Diaphragmatic / surgery
  • Humans
  • Rupture, Spontaneous
  • Tomography, X-Ray Computed