Left isolated inguinal endometriosis without pelvic endometriosis associated with PCOS and review of literature

Cemil Kaya, Bilge Sezin Akhan, H Ertürk
In: Journal of Health Sciences and Medicine · 2026 · vol. 9(3) , pp. 852–857 · doi:10.32322/jhsm.1839088 · W7163637202
article OA: diamond CC0
🔓 Open OA copy View on OpenAlex View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case describes a 40-year-old woman with PCOS and left inguinal endometriosis, highlighting the rare association of these conditions even without pelvic endometriosis.

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

⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 ⓘ

This paper is a case report describing left isolated inguinal endometriosis without pelvic endometriosis, occurring in association with polycystic ovary syndrome (PCOS), and it includes a review of relevant literature. It focuses on the presentation of this specific localization and the clinical context of PCOS, rather than a population-based cohort or experimental study. A stated limitation of case reports and narrative reviews is that they cannot establish generalizable incidence, risk factors, or causal relationships from a single patient experience. This paper is centrally about endometriosis — specifically, isolated inguinal endometriosis occurring without pelvic disease in a patient with PCOS.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

The coexistence of polycystic ovary syndrome (PCOS) and endometriosis is rare. Inguinal endometriosis (IEM) is an uncommon extrapelvic form of endometriosis, accounting for approximately 0.3-0.6% of all cases. It typically presents as inguinal swelling with cyclical pain and enlargement related to the menstrual cycle. A 40-year-old woman with a known diagnosis of type 1 PCOS and a history of two cesarean sections presented with a painful mass in the left inguinal region. The pain and swelling were cyclical in nature and became more pronounced during menstruation. The patient reported that her symptoms had worsened following the discontinuation of combined oral contraceptives, which she had been using for PCOS management. Physical examination revealed a tender mass in the left groin. Ultrasonography and magnetic resonance imaging demonstrated a lesion in the left inguinal region suggestive of endometriosis. Based on clinical and radiological findings, surgical intervention was planned. The patient underwent laparotomy, during which the left round ligament and the associated mass were completely excised. Intraoperative findings were consistent with endometriosis. The postoperative course was uneventful. Histopathological examination of the excised tissue confirmed the diagnosis of endometriosis. PCOS can be associated with inguinal endometriosis even without pelvic endometriosis.

My notes (saved in your browser only)

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 (22)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0 · commercial use OK