Laparoscopy - Endometriosis

Symptoms

A 23 year old woman presented with a long history of pelvic pain. The dysmenorrhoea had been relieved to some extent by the OCP. She had noted the onset of severe intermittent pelvic pain which was predominantly left sided and was exacerbated by strenuous exercise.

Diagnosis

All investigations had been normal.

Procedure

She subsequently underwent laparoscopy with excision of right sided endometriosis. There was a small deposit of pigmented endometriosis over the diaphragm. A Mirena IUCD was inserted post operatively.

Outcome

Endometriosis of the diaphragm is uncommon and a decision to surgically remove this needs to be made after careful discussion and consultation. The pain resolved post operatively.