Endometriosis mimicking hernia recurrence

Guillaume Ducarme, Ducarme G, G Ducarme, M. Uzan, Uzan M, C. Poncelet, Poncelet C
Hernia : the journal of hernias and abdominal wall surgery · 2006 · vol. 11(2) , pp. 175–177 · doi:10.1007/s10029-006-0159-2 · PMID:17119856 · W2092672445
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⚙ AI-generated summary by gemini-2.5-flash-lite+body, 2026-06-28 ⓘ

This case report describes a rare occurrence of scar endometriosis in a 28-year-old woman two years after inguinal hernia repair, mimicking a recurrent hernia.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This paper reports an unusual case of a 28-year-old woman who developed scar endometriosis two years after inguinal hernia repair, presenting as a painless inguinal mass that mimicked recurrent hernia and had possible menstrual-cycle–related swelling. The authors describe how extragenital endometriosis can occur in abdominal wall/scar locations and be mistaken for hernia recurrence, with the key outcome being the clinical recognition and management approach highlighted in the case. They note this as a rare occurrence, implying limited generalizability from a single case. This paper is centrally about endometriosis — it focuses on scar endometriosis mimicking inguinal hernia recurrence after prior hernia repair.

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Abstract

Endometriosis is a common gynecologic condition and has been described in several locations, mostly in the pelvis. Extragenital endometriosis may appear as a painful nodule evoking an inguinal hernia. Scar endometriosis after inguinal hernia repair seems to be a rare occurrence. We report an unusual case of a 28-year-old woman who developed a scar endometriosis 2 years after an inguinal hernia repair. This case highlights that the presence of a painless inguinal mass similar to a recurrent hernia, with possible swelling related to the menstrual cycle, may evoke endometriosis, especially after a previous hernia repair and should lead to prompt diagnosis, wide excision, and gynecological advice.
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Abstract

Endometriosis is a common gynecologic condition and has been described in several locations, mostly in the pelvis. Extragenital endometriosis may appear as a painful nodule evoking an inguinal hernia. Scar endometriosis after inguinal hernia repair seems to be a rare occurrence. We report an unusual case of a 28-year-old woman who developed a scar endometriosis 2 years after an inguinal hernia repair. This case highlights that the presence of a painless inguinal mass similar to a recurrent hernia, with possible swelling related to the menstrual cycle, may evoke endometriosis, especially after a previous hernia repair and should lead to prompt diagnosis, wide excision, and gynecological advice. Similar content being viewed by others

References

Singh KK, Lessells AM, Adam DJ, Jordan C, Miles WF, Macintyre IM, Greig JD (1995) Presentations of endometriosis to general surgeon: a 10 year experience. Br J Surg 82:1349–1351 King WLM (1979) Metastatic endometriosis in abdominal scars. Can J Surg 22:579 Majestic J (2001) Scar endometriosis manifested as a recurrent inguinal hernia. South Med J 94:247–248 Blanco RG, Parithivel VS, Shah AK, Gumbs MA, Schein M, Gerst PH (2003) Abdominal wall endometriomas. Am J Surg 185:596–598 Sataloff DM, LaVorgna KA, McFarland MM (1989) Extrapelvic endometriosis presenting as a hernia: clinical reports and review of the literature. Surgery 105:109–112 Picod G, Boulanger L, Bounoua F, Leduc F, Duval G (2006) Abdominal wall endometriosis after caesarean section: report of fifteen cases. Gynecol Obstet Fertil 34:8–13 Seydel AS, Sickel JZ, Warner ED, Sax HC (1996) Extrapelvic endometriosis: diagnosis and treatment. Am J Surg 177:239–241 Chatterjee SK (1980) Scar endometriosis: a clinicopathologic study of 17 cases. Obstet Gynecol 56:81–84 Rani PR, Soundararaghavan S, Rajaram P (1991) Endometriosis in abdominal scars-review of 27 cases. Int J Gynaecol Obstet 36:215–218 Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Ducarme, G., Uzan, M. & Poncelet, C. Endometriosis mimicking hernia recurrence. Hernia 11, 175–177 (2007). https://doi.org/10.1007/s10029-006-0159-2 Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s10029-006-0159-2

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Condition tags

endometriosis

MeSH descriptors

Cicatrix Endometriosis Endometriosis Hernia, Inguinal Postoperative Complications Postoperative Complications Adult Adult Cicatrix Cicatrix Diagnosis, Differential Diagnosis, Differential Endometriosis Endometriosis Female Female Hernia, Inguinal Hernia, Inguinal Hernia, Inguinal Humans

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 (11)

Cited by (15)

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