Endometriosis of the groin hernia sac: report of a case and review of the literature

G. Kiyak, Kiyak G, E Ergul, Emre Ergül, S M Sarikaya, Seyyit Muhsin Sarıkaya, A Yazgan, Aylin Kılıç Yazgan
Hernia : the journal of hernias and abdominal wall surgery · 2009 · vol. 14(2) , pp. 215–217 · doi:10.1007/s10029-009-0532-z · PMID:19590815 · W2154401700
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-12 ⓘ

This case report and literature review describes endometriosis found in a groin hernia sac of a 42-year-old female patient, noting cyclic symptoms and prior uterine surgery can aid diagnosis.

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

This paper reports a case of a 42-year-old woman with millimetric focal lesions within a groin hernia sac and provides a brief review of the literature on extrapelvic endometriosis presenting in hernia sites. The authors highlight that while definitive diagnosis requires biopsy, the presence of cyclic symptoms and a history of prior uterine surgery should point toward the correct diagnosis. A major limitation explicitly noted is that histologic confirmation via biopsy is still needed to establish the diagnosis. This paper is centrally about endometriosis — specifically endometriosis located in a groin hernia sac and how it is recognized in prior-surgery patients.

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Abstract

Endometriosis is characterized by the presence of histological normal endometrial tissue outside the uterine cavity. It occurs in up to 15% of menstruating women and often goes undetected. Some cases of soft-tissue involvement have been reported, particularly in the skin and subjacent tissues of surgical scars. However, we came cross a 42-year-old female patient with millimetric focal lesions in a groin hernia sac. A case report and a review of the literature are presented. Although definitive diagnosis still requires biopsy, the patient's cyclic symptoms and history of previous uterine surgery should suggest the correct diagnosis.
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Abstract

Endometriosis is characterized by the presence of histological normal endometrial tissue outside the uterine cavity. It occurs in up to 15% of menstruating women and often goes undetected. Some cases of soft-tissue involvement have been reported, particularly in the skin and subjacent tissues of surgical scars. However, we came cross a 42-year-old female patient with millimetric focal lesions in a groin hernia sac. A case report and a review of the literature are presented. Although definitive diagnosis still requires biopsy, the patient’s cyclic symptoms and history of previous uterine surgery should suggest the correct diagnosis. Similar content being viewed by others

References

Kamio M, Nagata T, Yamasaki H, Yoshinaga M, Douchi T (2009) Inguinal hernia containing functioning, rudimentary uterine horn and endometriosis. Obstet Gynecol 113:563–566 Candiani GB, Vercellini P, Fedele L, Vendola N, Carinelli S, Scaglione V (1991) Inguinal endometriosis: pathogenetic and clinical implications. Obstet Gynecol 78:191–194 Nikkanen V, Punnonen R (1984) External endometriosis in 801 operated patients. Acta Obstet Gynecol Scand 63:699–701 Sataloff DM, La Vorgna KA, McFarland MM (1989) Extrapelvic endometriosis presenting as a hernia: clinical reports and review of the literature. Surgery 105:109–112 Seydel AS, Sickel JZ, Warner ED, Sax HC (1996) Extrapelvic endometriosis: diagnosis and treatment. Am J Surg 171:239 Foster DC, Stern JL, Buscema J, Rock JA, Woodruff JD (1981) Pleural and parenchymal pulmonary endometriosis. Obstet Gynecol 58:552–556 Moore JG, Binstock MA, Growdon WA (1988) The clinical implications of retroperitoneal endometriosis. Am J Obstet Gynecol 158:1291–1298 Ueki M (1991) Histologic study of endometriosis and examination of lymphatic drainage in and from the uterus. Am J Obstet Gynecol 165:201–209 Luciano AA, Pitkin RM (1984) Endometriosis: approaches to diagnosis and treatment. Surg Annu 16:297–312 Yuen JS, Chow PK, Koong HN, Ho JM, Girija R (2001) Unusual sites (thorax and umbilical hernial sac) of endometriosis. J R Coll Surg Edinb 46:313–315 Iovino F, Ruggiero R, Irlandese E, Gili S, Lo Schiavo F (2007) Umbilical endometriosis associated with umbilical hernia. Management of a rare occurrence. Chir Ital 59:895–899 Kapan M, Kapan S, Durgun AV, Goksoy E (2005) Inguinal endometriosis. Arch Gynecol Obstet 271:76–78 Kulacoglu H, Ozdogan M, Gurer A, Ersoy EP, Onder Devay A, Duygulu Devay S, Gulbahar O, Gogkus S (2007) Prospective comparison of local, spinal, and general types of anaesthesia regarding oxidative stress following Lichtenstein hernia repair. Bratisl Lek Listy 108:335–339 Mashfiqul MA, Tan YM, Chintana CW (2007) Endometriosis of the inguinal canal mimicking a hernia. Singapore Med J 48:157–159 Agarwal A, Fong YF (2008) Cutaneous endometriosis. Singapore Med J 49:704–709 Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Kiyak, G., Ergul, E., Sarıkaya, S.M. et al. Endometriosis of the groin hernia sac: report of a case and review of the literature. Hernia 14, 215–217 (2010). https://doi.org/10.1007/s10029-009-0532-z Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s10029-009-0532-z

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Groin Hernia, Inguinal Adult Biopsy Endometriosis Endometriosis Female Groin Groin Hernia, Inguinal Hernia, Inguinal Humans Laparoscopy

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