{"paper_id":"1a2ec8a1-3056-478f-a2cf-b90a7fc9bdb0","body_text":"Abstract\nTwo cases of endometriosis infiltrating the round ligament and associated with an inguinal hernia are presented. The initial diagnosis was irrducible hernia, since this rare association often causes unusual preoperative symptoms and diagnostic problems. Diagnosis is frequently made by histologic examination. Surgery is the treatment of choice both for hernia and for endometriosis, and is locally curative. However, in a fertile women with a painful mass in the inguinal region the possibility of endometriosis should be considered, and if suspected at inguinal exploration a laparoscopy should be made to rule out the presence of intraperitoneal endometriosis.\nSimilar content being viewed by others\nReferences\nAshfaq R, Molberg KH, Knitch F (1994) Cutaneous endometriosis as a diagnostic pitfall of fine needle aspiration biopsy. A report of three cases. Acta Cytol Jul Aug 38(4):577–581\nCandiani GB, Vercellini P, Fedele L, Vendola N, Carinelli S, Scaglione V (1991) Inguinal endometriosis: pathogenetic and clinical implication. Obster Gynecol Aug 78(2): 191–194\nClausen I, Nielsen KT (1987) Endometriosis in the groin (review). Int J Gynecol Obstet 25: 469–471\nCorcione F, Cristinzio G, Titolo G, Califano G (1997) Primary inguinal hernia: the held-in mesh repair. Hernia 1: 47–49\nCristalli B, Raguin E, Heid M, Levardon M (1993) Inguinal hernia and endometriosis. J Gynecol Obstet Biol Reprod Paris 22(2): 149–150\nElemenoglu J, Skopelitou A, Nomikos I (1993) Carcinoma in the inguinal region arising from endometriosis of the round ligament. Report of a case. Eur J Gynaecol Oncol 14(1): 28–32\nFelding C, Nyrnberg LE, Moesgaard J (1989) Endometriosis of the round ligament Ann Chir Gynaecol 78(4): 327–328\nGleeson RE, Horgan LF (1997) Endometriosis in an inguinal hernia. Hernia 1: 147–148\nHeistermann P, Rupp D, Hohlbach G (1994 Endometriosis of the inguinal ligament as a rare differential diagnosis of inguinal space occupying lesion. Zentralb Chir 119(1): 50–53\nLa Gamma A, Kunin N, Letoquart JP, Mambrini A (1994) Endometriosis of the round ligament of the uterus in the inguinal canal: a propos of a new case. J Chir (Paris) Mar 131(3): 162\nLi AC, Siu WT, Li MK (1999) Endometrioma simulating inguinal hernia: case reports. Can J Surg Oct 42(5): 387–388\nManzanera M, Loinaz C, Lopez Rios F, Hernandez D (1996) Endometriosis of the round ligament presenting as an inguinal hernia. Rev Esp Enferm Dig July 88(7): 518–520\nPerez Soane C, Vargas J, de Agustin P (1991) Endometriosis in an inguinal crural hernia. Diagnosis by fine needle aspiration biopsy. Acta Cytol May Jun 35(3): 350–352\nQuagliariello J, Coppa G, Bigelow B (1985) Isolated endometriosis in an inguinal hernia. Am J Obstet Gynecol Jul 15 152(6Pt 1): 688–689\nSingh KK, Lessels AM, Adam DJ, Jordan C, Miles WF, Greig JD (1995) Presentation of endometriosis to general surgeons: a 10 year experience? (10): 1349–1351?\nSataloff DM, LaVorgna KA, McFarland MM (1989) Extrapelvic endometriosis presenting as a hernia: clinical reports and review of the literature. Surgery 105: 109–112\nShiotz HA, Tidsskr N, Laegeforen (1992) Inguinal endometriosis. Differential diagnosis of inginal pain in women? Jan 30; 112(3): 343–344?\nTran DK, Leroy JL (1966) Endométriose externe EMC Gynécologie 150 A 10\nWijnen MH, Peters HM, Roumen RM (1997) Endometriosis in the round ligament of the uterus as a cause of inguinal pain. Ned Tijdschr Geneeskd Oct 25; 141(439): 2073–2075\nAuthor information\nAuthors and Affiliations\nCorresponding author\nRights and permissions\nAbout this article\nCite this article\nMiranda, L., Settembre, A., Capasso, P. et al. Inguinal endometriosis or irreducible hernia? A difficult preoperative diagnosis. Hernia 5, 47–49 (2001). https://doi.org/10.1007/BF01576166\nReceived:\nAccepted:\nIssue date:\nDOI: https://doi.org/10.1007/BF01576166","source_license":"CC0","license_restricted":false}