A case of inguinal endometriosis with difficulty in preoperative diagnosis

Y Hagiwara, M Hatori, H Katoh, S Kokubun
Upsala journal of medical sciences · 2002 · doi:10.3109/2000-1967-125 · PMID:12696574
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case report describes a 40-year-old woman with a painful inguinal mass confirmed to be endometriosis of the round ligament, highlighting the importance of considering this diagnosis in women of childbearing age.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 · read from full text ⓘ

This paper reports an unusual case of inguinal endometriosis in a 40-year-old woman, characterized by a tender right groin mass on the round ligament that began after childbirth and later became painful. Clinically, a poorly circumscribed elastic-hard 3 cm inguinal mass was palpated, and MRI showed a 2×3 cm mass in the right inguinal canal, but preoperative diagnosis was difficult. At surgery, the mass was found to be continuous with the round ligament, and histology confirmed endometriosis; after operation, she had complete pain relief. The paper emphasizes that endometriosis should be considered in the differential diagnosis of painful inguinal masses in women of childbearing age. This paper is centrally about endometriosis — it presents a case of inguinal (round ligament) endometriosis with difficulty in preoperative diagnosis.

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Abstract

An unusual case of endometriosis involving the right round ligament in a 40-year-old woman is presented. After giving birth to two children, she first noticed a tender mass in the right groin at the age of 36. It didn't change in size but pain appeared at the age of 38, disturbing her daily life. A poorly circumscribed elastic hard mass, measuring 3 cm in diameter, was palpable in her right inguinal region. Magnetic resonance imaging demonstrated a 2x3 cm mass in the right inguinal canal. At operation, a mass was found to be in continuity with the round ligament at the inguinal canal. Histological diagnosis was endometriosis. After operation, she was completely relieved of pain. It is important to include endometriosis in the differential diagnosis for painful inguinal masses in women of childbearing age.
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A case of inguinal endometriosis with difficulty in preoperative diagnosis Abstract An unusual case of endometriosis involving the right round ligament in a 40-year-old woman is presented. After giving birth to two children, she first noticed a tender mass in the right groin at the age of 36. It didn't change in size but pain appeared at the age of 38, disturbing her daily life. A poorly circumscribed elastic hard mass, measuring 3 cm in diameter, was palpable in her right inguinal region. Magnetic resonance imaging demonstrated a 2x3 cm mass in the right inguinal canal. At operation, a mass was found to be in continuity with the round ligament at the inguinal canal. Histological diagnosis was endometriosis. After operation, she was completely relieved of pain. It is important to include endometriosis in the differential diagnosis for painful inguinal masses in women of childbearing age. Downloads Authors retain copyright of their work, with first publication rights granted to Upsala Medical Society. Read the full Copyright- and Licensing Statement.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Inguinal Canal Round Ligament of Uterus Adult Diagnosis, Differential Endometriosis Female Humans Inguinal Canal Magnetic Resonance Imaging Preoperative Care Round Ligament of Uterus

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europepmc
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pubmed
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