Inguinal endometriosis or irreducible hernia? A difficult preoperative diagnosis

L Miranda, A Settembre, Pasquale Capasso, P Capasso, D Piccolboni, N De Rosa, Nicola Rosa, F Corcione, Francesco Corcione
Hernia : the journal of hernias and abdominal wall surgery · 2001 · vol. 5(1) , pp. 47–49 · doi:10.1007/bf01576166 · PMID:11387723 · W2074268345
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This paper presents two cases of endometriosis infiltrating the round ligament and associated with an inguinal hernia, which poses diagnostic challenges preoperatively.

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This paper reports two cases in which endometriosis infiltrating the round ligament presented as an inguinal mass with an associated inguinal hernia, leading to an initial preoperative diagnosis of an irreducible hernia because the combination can cause unusual symptoms and diagnostic difficulty. The authors note that diagnosis is often made by histologic examination. They state that surgery is the treatment of choice for both the hernia and endometriosis and is locally curative, while explicitly acknowledging that, in fertile women with a painful inguinal mass, endometriosis should be considered and laparoscopy used at exploration to rule out intraperitoneal disease. This paper is centrally about endometriosis — it focuses on inguinal endometriosis of the round ligament masquerading as an irreducible inguinal hernia.

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Abstract

Two 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. Similar content being viewed by others

References

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Hernia, Inguinal Inguinal Canal Inguinal Canal Adult Diagnosis, Differential Endometriosis Endometriosis Female Hernia, Inguinal Hernia, Inguinal Humans Laparoscopy Preoperative Care Round Ligament of Uterus

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