Clinical Characteristics and Surgical Treatment for Inguinal Endometriosis in Young Women of Reproductive Age

Hiroaki Niitsu, Tsumura H, Hiroaki Tsumura, Tetsuya Kanehiro, Kanehiro T, Yamaoka H, Hiroaki Yamaoka, Taogoshi H, Hiroyuki Taogoshi, Naoki Murao, Murao N
Digestive surgery · 2018 · vol. 36(2) , pp. 166–172 · doi:10.1159/000489827 · PMID:29975936 · W2819423355
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This study analyzed 28 reproductive-aged women with inguinal endometriosis, finding they primarily presented with masses and menstrual-related pain, with type I IEM less frequently diagnosed preoperatively.

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Abstract

AIM: To study the characteristics and surgical treatment of inguinal endometriosis (IEM), which can occur in women of reproductive age. METHODS: Patients who underwent groin surgery at the Hiroshima City Funairi Citizens Hospital between 2004 and 2017 were retrospectively examined. Patients with IEM were divided into 3 groups based on the site of occurrence as follows: at a hernia sac or hydrocele of Nuck's canal (type I), round ligament (type II), or subcutaneous area (type III). Clinical characteristics were compared among groups. RESULTS: Of 2,798 patients investigated, 28 were pathologically diagnosed as having IEM with 15, 10, and 3 classified as type I, II, and III respectively. All patients presented with a mass (median 20 mm) and/or bulge that mainly occurred at the right inguinal region. Sixteen patients presented with inguinal pain associated with menstruation. While the groups did not differ in terms of most clinical characteristics, the lack of a preoperative diagnosis of IEM occurred more frequently for type I than for types II and III. CONCLUSIONS: Because IEM-type I might be underdiagnosed preoperatively, complete resection of a hernia sac or hydrocele of Nuck's canal with subsequent pathological examination is required for women of reproductive age with an inguinal disease.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Inguinal Canal Inguinal Canal Round Ligaments Round Ligaments Adult Adult Endometriosis Endometriosis Endometriosis Endometriosis Female Female Hernia, Inguinal Hernia, Inguinal 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 (23)

Cited by (25)

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