Endometriosis of extra-pelvic round ligament, a diagnostic dilemma for physicians
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Abstract
A 49-year-old multiparous woman presented with a swelling in the left groin of 6 months duration. The swelling was associated with a dull aching pain. The patient reported increase in size of the swelling during lifting of heavy weights. Menstrual history was normal and there was no increase in pain over the swelling during menstruation. She underwent a caesarean section 20 years ago and the scar had healed by primary intention. She was provisionally diagnosed to have a left-sided inguinal hernia. Ultrasonography showed a multiloculated cyst measuring 5.3×1.5×5.2 cm within the inguinal canal. The patient had excision of the cyst under spinal anaesthesia. Intraoperatively the cyst was found to arise from the left round ligament. It measured 7×6 cm extending to the left lateral vaginal wall. Histopathology revealed endometriosis of the round ligament. Her gynaecological assessment was normal and they recommended no further treatment. On follow-up the patient was asymptomatic and wound had healed well.
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Cited by (15)
- Infiltrating Endometriosis of the Distal Part of Round Uterine Ligament and It’s Association with Nuck’s Diverticulum (Literature Review and Case Report) 2024
- Inguinal endometriosis: A systematic review 2022
- Cyst of the canal of Nuck as a «mask» of endometriosis 2022
- Rare extragenital endometriosis: pathogenesis and therapy 2022
- Characteristics and clinical management of inguinal endometriosis 2022
- An Inguinal Endometriosis without Any Other Pelvic Endometriosis Mimicking Direct Inguinal Hernia: A Case Report 2022
- Inguinal Endometriosis in a Nulliparous Woman Mimicking an Inguinal Hernia: A Case Report with Literature Review 2021
- Clinical aspects and management of inguinal endometriosis: A case series of 20 patients 2019
- The Groin Endometriosis: A Great Mimicker of Common Groin Conditions 2019
- Endometriosis umbilical secundaria 2019
- Atypical Sites of Deeply Infiltrative Endometriosis: Clinical Characteristics and Imaging Findings 2018
- Appendectomy Scar Endometriosis: A Case Report 2018
- RARE CLINICAL CASE OF ENDOMETRIOSIS OF ROUND LIGAMENT OF THE UTERUS 2016
- Jack in the box: inguinal endometriosis 2015
- Increased 18F-FDG Uptake of Widespread Endometriosis Mimicking Ovarian Malignancy 2014
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