{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T06:06:12Z","timestamp":1784786772967,"version":"3.55.0"},"reference-count":21,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T00:00:00Z","timestamp":1784764800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Extra-pelvic endometriosis is a rare and complex condition characterized by endometriotic implants located outside the pelvis. It commonly poses significant diagnostic challenges and considerable surgical management difficulties.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>A 32\u202fyear-old primiparous woman presented with severe abdominal pain, deep dyspareunia and right-sided shoulder pain. Laparoscopic excision of deep infiltrating endometriosis on the anterior abdominal wall, under the ovaries and uterosacral ligaments was completely performed as well as pre-vesical shaving and ovarian cystectomy. However, resection of diaphragmatic endometriotic lesion was not performed due to multiple limitations, the procedure was conducted in a gynecology clinic without a multidisciplinary team, including thoracic surgeons and the lack of specialized equipment. The patient received hormone therapy for 5\u202fmonths, including 2 GnRH agonist injections followed by 3\u202fmonths of dienogest 2\u202fmg. Abdominal pain resolved completely, however, right-sided shoulder pain became mild and tolerable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case emphasizes the diagnostic and surgical challenges of extra-pelvic endometriosis and highlights the need of a multidisciplinary and individualized approach.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2026.1839110","type":"journal-article","created":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T05:39:31Z","timestamp":1784785171000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Unexpected coexistence of diaphragmatic and abdominal wall endometriosis in a case of bilateral ovarian endometriomas: a case report"],"prefix":"10.3389","volume":"13","author":[{"given":"Hajar","family":"Erraji","sequence":"first","affiliation":[{"name":"Immunopathology-Immunotherapy-Immunomonitoring Laboratory, Faculty of Medicine, Mohammed VI University of Sciences and Health (UM6SS)","place":["Casablanca, Morocco"]},{"name":"Reproductive Health Physiopathology Laboratory, Mohammed VI Center for Research and Innovation (CM6RI)","place":["Rabat, Morocco"]},{"name":"Department of Obstetrics and Gynecology, Les Iris Clinic","place":["Casablanca, Morocco"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Zarqaoui","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Les Iris Clinic","place":["Casablanca, Morocco"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fadoua","family":"El Mansouri","sequence":"additional","affiliation":[{"name":"Immunopathology-Immunotherapy-Immunomonitoring Laboratory, Faculty of Medicine, Mohammed VI University of Sciences and Health (UM6SS)","place":["Casablanca, Morocco"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noureddine","family":"Louanjli","sequence":"additional","affiliation":[{"name":"Laboratory of Medical Analysis and Reproductive Biology, Labomac","place":["Casablanca, Morocco"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bouchra","family":"Ghazi","sequence":"additional","affiliation":[{"name":"Immunopathology-Immunotherapy-Immunomonitoring Laboratory, Faculty of Medicine, Mohammed VI University of Sciences and Health (UM6SS)","place":["Casablanca, Morocco"]},{"name":"Reproductive Health Physiopathology Laboratory, Mohammed VI Center for Research and Innovation (CM6RI)","place":["Rabat, 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