[Extragenital endometriosis: Parietal, thoracic, diaphragmatic and nervous lesions. CNGOF-HAS Endometriosis Guidelines]

Gynecol Obstet Fertil Senol. 2018 Mar;46(3):319-325. doi: 10.1016/j.gofs.2018.02.001. Epub 2018 Mar 9.
[Article in French]


According to some studies, extragenital endometriosis represents 5% of the localisations. Its prevalence seems to be underestimated. The extra pelvic localisation can make the diagnosis more difficult. Nevertheless, the recurrent and catamenial symptomatology can evoke this pathology. Surgery seems to be the unique efficient treatment for parietal lesions. Pain linked to nervous lesions (peripheric and sacral roots) seems to be underestimated and difficult to diagnose because of various localisations. Neurolysis seems to have encouraging results. Diaphragmatic lesions are often discovered either incidentally during laparoscopy, or by pulmonary symptomatology as recurrent catamenial pneumothorax or cyclic thoracic pain. Surgical treatment seems as well to be efficient.

Keywords: Abdominal wall; Catamenial pneumothorax; Diaphragm; Endometriosis; Endométriose diaphragmatique; Endométriose pariétal; Endométriose racines nerveuses sacrées; Endométriose thoracique; Pneumothorax cataménial; Sacral roots endometriosis; Thoracic endometriosis.

Publication types

  • Practice Guideline
  • Review

MeSH terms

  • Abdomen / surgery*
  • Diaphragm / surgery*
  • Endometriosis / complications
  • Endometriosis / diagnosis
  • Endometriosis / therapy*
  • Female
  • Humans
  • Laparoscopy
  • Peripheral Nervous System Diseases / etiology
  • Peripheral Nervous System Diseases / therapy*
  • Thoracic Diseases / etiology
  • Thoracic Diseases / surgery*