Inguinal endometriosis

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This report presents three cases of inguinal endometriosis, initially mistaken for inguinal hernias, that were diagnosed and treated during hernia repair surgery by excising the lesions and part of the round ligament.

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This paper is a case report describing three instances of inguinal endometriosis that were preoperatively mistaken for inguinal hernia in patients presenting to surgery, with diagnosis made intraoperatively during hernia repair. The lesions were treated by simple excision, including part of the round ligament. The main limitation is that the report is limited to a small number of cases and does not provide a comparative diagnostic or follow-up outcome assessment beyond operative management. This paper is centrally about endometriosis — specifically inguinal (extrapelvic) endometriosis presenting as a presumed inguinal hernia.

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Abstract

IntroductionExtrapelvic endometriosis is a rarely seen condition and it is occasionally presented to the general surgeons. It is often diagnosed incidentally.Case reportIn this report we presented three cases of inguinal endometriosis all of which were thought to be inguinal hernia preoperatively. They were diagnosed during the operation for inguinal hernia repair and treated with simple excision of the lesions with a part of the round ligament.
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Abstract

Introduction Extrapelvic endometriosis is a rarely seen condition and it is occasionally presented to the general surgeons. It is often diagnosed incidentally. Case report In this report we presented three cases of inguinal endometriosis all of which were thought to be inguinal hernia preoperatively. They were diagnosed during the operation for inguinal hernia repair and treated with simple excision of the lesions with a part of the round ligament. Similar content being viewed by others

References

Candiani GB, Vercellini P, Fedele L, Vendola N, Carinelli S, Scaglione V (1991) Inguinal endometriosis: pathogenetic and clinical implications. Obstet Gynecol 78:191–194 Jubanyik KJ, Comite F (1997) Extrapelvic endometriosis. Obstet Gynecol Clin 24:411–440 Kelemen PR (2002) Extrapelvic retroperitoneal endometrioma. Am J Surg 184:52–53 Khetan N, Torkington J, Watkin A, Jamison MH, Humphreys WV (1999) Endometriosis: presentation to general surgeons. Ann R Coll Surg Engl 81:255–259 Markham SM, Carpenter SE, Rock JA (1989) Extrapelvic endometriosis. Obstet Gynecol Clin North Am 16:193–219 Miranda L, Settembre A, Capasso P, Piccolboni D, de Rosa N, Corcione F (2001) Inguinal endometriosis or irreducible hernia? A difficult preoperative diagnosis. Hernia 5:47–49 Singh KK, Lessels AM, Adam DJ, Jordan C, Miles WF, Macintyre IM, Greig JD (1995) Presentation of endometriosis to general surgeons: a 10-year experience. Br J Surg 82:1349–1351 Walter AJ, Hentz JG, Magtibay PM, Cornella JL, Magrina JF (2001) Endometriosis: correlation between histologic and visual findings at laparoscopy. Am J Obstet Gynecol 184:1407–1413 Zollner U, Girschick G, Steck T, Dietl J (2003) Umbilical endometriosis without previous pelvic surgery: case report. Arch Gynecol Obstet 267:258–260 Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Kapan, M., Kapan, S., Durgun, A.V. et al. Inguinal endometriosis. Arch Gynecol Obstet 271, 76–78 (2005). https://doi.org/10.1007/s00404-004-0624-z Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s00404-004-0624-z

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Inguinal Canal Round Ligament of Uterus Adult Diagnosis, Differential Endometriosis Endometriosis Female Groin Hernia, Inguinal Hernia, Inguinal Humans Inguinal Canal Inguinal Canal Middle Aged Round Ligament of Uterus Round Ligament of Uterus Treatment Outcome

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References (11)

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