Inguinal endometriosis: pathogenetic and clinical implications

G B Candiani, Candiani GB, G Candiani, Paolo Vercellini, P Vercellini, Vercellini P, Luigi Fedele, Fedele L, L Fedele, N Vendola, Nicoletta Vendola, Vendola N, Silvestro Carinelli, S Carinelli, Carinelli S, V SCAGLIONE, Scaglione V, Vincenzo Scaglione
Obstetrics and gynecology · 1991 · vol. 78(2) , pp. 191–4 · PMID:2067761 · W2411775606
Case report OA: closed CC0 ⤵ 82 in-corpus citations
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-07 ⓘ

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 Inguinal Canal Round Ligament of Uterus Round Ligament of Uterus Adult Adult Diagnosis, Differential Diagnosis, Differential Endometriosis Endometriosis Female Female Genital Neoplasms, Female Genital Neoplasms, Female 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 ]

Cited by (50)

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europepmc
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openalex
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pubmed
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License: CC0 · commercial use OK