Inguinal endometriosis: pathogenetic and clinical implications.

Obstetrics and gynecology · 1991 · vol. 78(2) , pp. 191–4 · PMID:2067761 · W2411775606
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This study identified inguinal endometriosis in six women presenting with suspected incarcerated hernias, finding the round ligament to be the affected structure and catamenial pain a key diagnostic symptom.

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Abstract

In six women with a preoperative diagnosis of incarcerated hernia, surgical exploration of the groin revealed inguinal endometriosis and no hernia. The affected structure was always the extraperitoneal portion of the round ligament. Six of the seven lesions were on the right. Intraperitoneal endometriosis was demonstrated in all patients. Catamenial pain was the pathognomonic symptom in the differential diagnosis of the inguinal mass. Gynecologists and surgeons should bear in mind the possibility that endometriosis may be the cause of symptoms of a suspected incarcerated inguinal hernia. Should this disease be detected at inguinal exploration, a laparoscopy is indicated during the same operation.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Genital Neoplasms, Female Hernia, Inguinal Inguinal Canal Round Ligament of Uterus Adult Diagnosis, Differential Endometriosis Female Genital Neoplasms, Female Hernia, Inguinal Humans Middle Aged

Citation neighborhood

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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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europepmc
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License: CC0 · commercial use OK