Jack in the box: inguinal endometriosis

Pandey D, Deeksha Pandey, Coondoo A, Ambika Coondoo, Jyothi Shetty, Mathew S, Stanley Mathew
BMJ case reports · 2015 · vol. 2015 , pp. bcr2014207988 · doi:10.1136/bcr-2014-207988 · PMID:25827916 · PMC4386470 · W2056624867
Case report OA: bronze CC0 ⤵ 7 in-corpus citations
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This case report describes the diagnosis and successful surgical excision of a round ligament endometriosis presenting as an inguinal swelling in a 39-year-old woman.

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Abstract

A 39-year-old woman with a left-sided inguinal swelling was referred to us with a diagnosis of inguinal hernia. On asking leading questions, the patient gave a typical history of cyclical pain and increased swelling during menstruation. Fine-needle aspiration biopsy revealed endometrial glands. Preoperatively, the extent of the endometriotic lesion was delineated using MRI. The lesion was approached through the patient's caesarean scar for cosmetic reasons and excised in toto. Final diagnosis was round ligament endometriosis. The patient was asymptomatic at 3, 6 and 12 months' follow-up. This case re-emphasises the fact that endometriosis is an enigmatic disease and can be found anywhere in the body. Thus, a woman of reproductive age presenting with any cyclical symptom should be asked about its relation to her menstrual cycle.

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Condition tags

dysmenorrheaendometriosis

MeSH descriptors

Dysmenorrhea Endometriosis Endometriosis Inguinal Canal Round Ligament of Uterus Adult Adult Biopsy, Fine-Needle Biopsy, Fine-Needle Diagnosis, Differential Diagnosis, Differential Dysmenorrhea Dysmenorrhea Endometriosis Endometriosis Endometriosis Endometriosis Female Female Hernia, Inguinal

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (14)

Cited by (7)

Source provenance

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License: CC0 · commercial use OK