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====Extrapelvic endometriosis==== Rarely, endometriosis appears in extrapelvic parts of the body, such as the lungs, brain, and [[skin]].<ref name="WH2014" /><ref name=McCann2020p1419>{{cite journal | vauthors = McCann MR, Schenk WB, Nassar A, Maimone S | title = Thoracic endometriosis presenting as a catamenial hemothorax with discordant video-assisted thoracoscopic surgery | journal = Radiology Case Reports | volume = 15 | issue = 9 | pages = 1419β1422 | date = September 2020 | pmid = 32642009 | pmc = 7334551 | doi = 10.1016/j.radcr.2020.05.064 }}</ref> Risk factors for scar endometriosis include previous abdominal surgeries, such as a hysterotomy or cesarean section, or ectopic pregnancies, salpingostomy puerperal sterilization, laparoscopy, amniocentesis, appendectomy, episiotomy, vaginal hysterectomies, and hernia repair.<ref>{{cite journal | vauthors = Dwivedi AJ, Agrawal SN, Silva YJ | title = Abdominal wall endometriomas | journal = Digestive Diseases and Sciences | volume = 47 | issue = 2 | pages = 456β461 | date = February 2002 | pmid = 11855568 | doi = 10.1023/a:1013711314870 | s2cid = 7362461 }}</ref><ref>{{cite journal | vauthors = Kaunitz A, Di Sant'Agnese PA | title = Needle tract endometriosis: an unusual complication of amniocentesis | journal = Obstetrics and Gynecology | volume = 54 | issue = 6 | pages = 753β755 | date = December 1979 | pmid = 160025 }}</ref><ref>{{cite journal | vauthors = Koger KE, Shatney CH, Hodge K, McClenathan JH | title = Surgical scar endometrioma | journal = Surgery, Gynecology & Obstetrics | volume = 177 | issue = 3 | pages = 243β246 | date = September 1993 | pmid = 8356497 }}</ref> Less commonly, lesions can be found on the diaphragm or lungs. Diaphragmatic endometriosis is rare, almost always on the right hemidiaphragm, and may cause the cyclic pain of the right [[scapula]] (shoulder) or [[cervical vertebrae|cervical area]] (neck) during a menstrual period.<ref name=Andres2020p373>{{cite journal | vauthors = Andres MP, Arcoverde FV, Souza CC, Fernandes LF, AbrΓ£o MS, Kho RM | title = Extrapelvic Endometriosis: A Systematic Review | journal = [[Journal of Minimally Invasive Gynecology]] | volume = 27 | issue = 2 | pages = 373β389 | date = February 2020 | pmid = 31618674 | doi = 10.1016/j.jmig.2019.10.004 | title-link = doi | doi-access = free }}</ref> Pulmonary endometriosis can be associated with a [[Hemothorax#Nontraumatic|thoracic endometriosis syndrome]] that can include [[Uterine cycle|catamenial]] (occurs during menstruation) pneumothorax seen in 73% of women with the syndrome, catamenial hemothorax in 14%, catamenial hemoptysis in 7%, and pulmonary nodules in 6%.<ref name=McCann2020p1419/>
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