Adenomyosis of the Extrapelvic Portion of the Round Ligament

Angelo Cagnacci, Anjeza Xholli, Giovanni Grandi, Guido Ficarra, Annarita Pecchi
In: Journal of Gynecologic Surgery · 2016 · vol. 32(3) , pp. 204–206 · doi:10.1089/gyn.2015.0101 · W2273486089
article OA: green CC0 ⤵ 1 in-corpus citation
🔓 Open OA copy View on OpenAlex View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This case report describes the first instance of adenomyosis found in the distal extrapelvic portion of the round ligament, presenting as a symptomatic nodule in a patient with a history of pelvic endometriosis.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

Background: Adenomyosis is a disease of the uterus characterized by invasion of endometrial cells within the myometrium. Adenomyosis is typically confined to the uterus, with no distant localizations. This article reports on a case of adenomyosis of the distal extrapelvic portion of the round ligament. Case: The patient, a 49-year-old woman, had previously undergone surgery for pelvic endometriosis. This prior surgery included removal of uterus, fallopian tubes, and a portion of the sigmorectal intestine. She then presented with a nodule on the right side of her pubis. The nodule was close to the upper part of her right labia majora. She was experiencing cyclic pain, nodule enlargement, and edema on the right side of her pubis. The entire round ligament, from the internal inguinal canal to its distal end above the pubis, was removed. Histology testing revealed that the distal nodule was a myomalike neoformation containing endometrial tissue; this was definable as adenomyosis. Results: After the surgical procedure, the patient recovered quickly and after 6 months she was still free of symptoms. Conclusions: To the current authors' knowledge, this is the first case describing such a distant migration of endometrial cells up to the final extraperitoneal end of the round ligament to form a nodule of adenomyosis. A physical examination and imaging should be performed to rule out hernia, a cyst of the Nuck's duct, or lymph-node enlargement. Complete excision is curative. (J GYNECOL SURG 32:204)

My notes (saved in your browser only)

Condition tags

endometriosisadenomyosis

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (12)

Cited by (1)

Source provenance

openalex
last seen: 2026-06-04T00:00:01.174412+00:00
License: CC0 · commercial use OK