Infiltrating Endometriosis of the Distal Part of Round Uterine Ligament and It’s Association with Nuck’s Diverticulum (Literature Review and Case Report)

S.I. Kiselev, E.A. Karapetyan, E.V. Shaidulina, O.V. Revva, D.V. Yastrebov
In: Russian Journal of Human Reproduction · 2024 · vol. 30(2) , pp. 112 · doi:10.17116/repro202430021112 · W4395698760
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Abstract

Endometriosis is a common disease, which etiology is still unclear. One of the quite rare forms of extrapelvic endometriosis is inguinal endometriosis. According to published and our own data, the round ligament of the uterus in 3—9.5% of adult women passes through a blind rudimentary peritoneal sac, called Nuck’s diverticulum, located in the inguinal canal and communicating with the abdominal cavity. The goal of this article is to demonstrate that this diverticulum is the site of origin of inguinal endometriosis and, in particular, infiltrating endometriosis of the distal round uterine ligament. For this purpose, a literature review was carried out, including 61 studies on 109 cases of infiltrating endometriosis of this localization. The review is supplemented by our own case report of surgical removal of persistent endometriosis of the distal round uterine ligament in a patient with Nuck’s diverticulum, detected by laparoscopy.

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endometriosis

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