Inguinal endometriosis mimicking an inguinal hernia: A case report and literature review

Ibtissam El Bqaq, Elmahdi Ait Belhaj, Zaineb Ehirchiou, Lina Belkouchi, Nazik Allali, Latifa Chat, Siham El Haddad
In: Radiology Case Reports · 2026 · vol. 21(12) , pp. 5994–5999 · doi:10.1016/j.radcr.2026.08.073 · W7211925074
article OA: gold CC0
🔓 Open OA copy View on OpenAlex View at publisher
⚙ AI-generated summary by qwen3.7-flash, 2026-09-10 ⓘ

This case report and literature review describe a patient with inguinal endometriosis that clinically mimicked an inguinal hernia, highlighting the diagnostic challenge of distinguishing these conditions.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

Inguinal endometriosis is a very rare extrapelvic form of endometriosis, estimated to occur in only 0.3–0.6% of women with endometriosis. It mostly affects the right round ligament running inside the inguinal canal. Its symptoms, an intermittent, cyclical right groin mass or pain, can very easily be confused with an inguinal hernia, which results in patients not being diagnosed on time or being operated on inappropriately. Here we present a 38-year-old female patient with repeated episodes of gradually worsening and relieving right inguinal pain, in whom ultrasound and magnetic resonance imaging (MRI) findings were highly suggestive of inguinal endometriosis. Laparoscopic excision of the lesion together with the involved round ligament segment was performed, and histopathological examination confirmed the diagnosis, rather than management as a simple hernia.

My notes (saved in your browser only)

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.

References (6)

Source provenance

openalex
last seen: 2026-09-12T06:45:54.676558+00:00
License: CC0 · commercial use OK