Extrapelvic endometrioma presenting as acute incarcerated right inguinal hernia in a postpartum patient

Erum Azhar, Salma M Mohammadi, Fauzan Ahmed, Fauzan M Ahmed, Abdul Waheed, Abdül Waheed
BMJ case reports · 2019 · vol. 12(9) , pp. e231213 · doi:10.1136/bcr-2019-231213 · PMID:31540925 · PMC6768380 · W2974824764
article OA: bronze CC0 ⤵ 4 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

A postpartum patient with an incarcerated right inguinal hernia was found to have an extrapelvic endometrioma within the hernia sac upon surgical exploration.

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Abstract

A 33-year-old postpartum patient, who had an uncomplicated repeat caesarean section 4 weeks prior, presented with a 2-day history of acute right lower quadrant, incisional and groin pain. She was found to have a palpable tender lump in the right groin. A CT scan with contrast identified fluid along the anterior abdominal wall of the right lower quadrant (inguinal region) measuring about 1.7 cm, a preliminary diagnosis of an incarcerated inguinal hernia was made and the patient underwent immediate surgery. The hernia sac was dissected free and had chocolate cyst that was confirmed to be endometrioma on histopathology. The hernia defect was repaired. Postoperative, the patient did well and was discharged home. We emphasise to consider this differential diagnosis of extrapelvic inguinal endometrioma in reproductive-aged women with or without history of endometriosis especially in a post-caesarean patient who has atypical presentations.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Abdominal Wall Cesarean Section Endometriosis Hernia, Inguinal Herniorrhaphy Abdominal Pain Abdominal Wall Abdominal Wall Adult Cesarean Section Diagnosis, Differential Endometriosis Endometriosis Female Hernia, Inguinal Hernia, Inguinal Hernia, Inguinal Humans Postpartum Period Treatment Outcome

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 (12)

Cited by (4)

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