Talk:Thoracic endometriosis

Just out of curiosity i followed some links to learn about the pathogenesis of this extremely rare medical condition. I stumbled upon this sentence in the article:

„A review of autopsy data showed that patients with endometriosis have bilateral pulmonary lesions, which supports the vascular embolisation theory. The pleural and/or diaphragmatic lesions were always found on the left side, which supports the theory of coelomic metaplasia. „

This seems to be citated from Source 2 in the article though it is not marked as a citation 2. Alifano, M. (n.d.). Thoracic Endometriosis: Current Knowledge. Retrieved July 7, 2016

Where the words are: „A review of autopsy data [20] showed that patients with pulmonary endometriosis usually had bilateral lesions, whereas pleural and diaphragmatic lesions were always right-sided. Thus, parenchymal lesions were hypothesized to originate from embolization, whereas pleural and diaphragmatic ones were explained by a third theory, transperitoneal-transdiaphragmatic migration of endometrial tissue. „

notice the word „usually“...

The citation [20] with the autopsy data leads to JAMA article from 1966 JAMA. 1966 May 9;196(6):595-7 by Kovarik et al:Thoracic endometriosis with recurrent spontaneous pneumothorax…. ...Which is a case report. Here‘s the Abstract: To the authors' knowledge only ten cases of thoracic endometriosis have been reported. Of these, six were in the pulmonary parenchyma and four others in the pleura. One of these involved the diaphragm on the right and, is the only reported case of recurrent spontaneous pneumothoraces coincident with menstruation.1 The following case is of interest because of recurrent spontaneous pneumothoraces occurring with menstruation and because of the histologic appearance of the tissue obtained at thoracotomy.

Ok. In the article pleural/and or diaphragmatic lesions are always left. This is based on a source stating they are always right sided. Which is based on another source that found 1! right-sided lesion „involving“ the diaphragm, out of 4 pleural/diaphragmatic lesions. in a total of 10 patients:)