Endometriosis of extra-pelvic round ligament, a diagnostic dilemma for physicians

Prabhu R, Raghunath Prabhu, Sunil Krishna, Shenoy R, Rajgopal Shenoy, Siddharth Thangavelu, Thangavelu S
BMJ case reports · 2013 · vol. 2013 , pp. bcr2013200465 · doi:10.1136/bcr-2013-200465 · PMID:23960152 · PMC3762512 · W2139262660
article OA: bronze CC0 ⤵ 15 in-corpus citations
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This case report describes a 49-year-old woman who presented with a groin swelling diagnosed as endometriosis of the round ligament after surgical excision and histopathological confirmation.

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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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Condition tags

endometriosis

MeSH descriptors

Adnexal Diseases Endometriosis Hernia, Inguinal Round Ligament of Uterus Adnexal Diseases Diagnosis, Differential Endometriosis Female Hernia, Inguinal Humans Middle Aged

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.

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Cited by (16)

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