Inguinal Endometriosis: Three Cases and Literature Review

Stylianos Apostolidis, Stelios Apostolidis, Antonios Michalopoulos, Antonis Michalopoulos, Theodossis S Papavramidis, Vasileios Papadopoulos, Vassilis N Papadopoulos, Daniel Paramythiotis, Nick Harlaftis
Southern medical journal · 2009 · vol. 102(2) , pp. 206–207 · doi:10.1097/smj.0b013e318186d36e · PMID:19139703 · W135158482
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This paper presents three cases of round ligament endometriosis, often misdiagnosed as hernia, highlighting the need for histologic confirmation and surgical treatment for this rare condition in women of reproductive age.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This paper presents three cases of endometriosis infiltrating the round ligament in fertile women, in which the initial diagnosis was an irreducible inguinal hernia due to unusual preoperative symptoms. The authors report that histologic examination was the basis for diagnosis and emphasize that inguinal endometriosis should be considered for painful inguinal masses showing menstrual-related changes, noting its rarity as a diagnostic caveat. They state that surgery is the treatment of choice and is curative, and they suggest performing laparoscopy during the same operation to evaluate intraperitoneal disease. This paper is centrally about endometriosis — specifically inguinal endometriosis involving the round ligament and its diagnostic challenges.

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Abstract

Three cases of endometriosis infiltrating the round ligament are presented. The initial diagnosis was irreducible hernia, since this rare nosologic entity often causes unusual preoperative symptoms and diagnostic problems. Diagnosis is frequently made by histologic examination. The rarity of inguinal endometriosis should not exclude it from a possible diagnosis in cases with a painful mass in the inguinal region in a fertile woman, especially if the groin mass is associated in size and tenderness with menstrual variability. Surgery is the treatment of choice and is curative; laparoscopy is suggested during the same operation to evaluate the intraperitoneal conditions.

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Endometriosis Endometriosis Inguinal Canal Round Ligament of Uterus Adult Endometriosis Endometriosis Female Humans Inguinal Canal Round Ligament of Uterus

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 (14)

Cited by (24)

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