Endometriosis of the round ligament: description of a clinical case and review of the literature

Licheri S, S Licheri, G Pisano, Giuseppe Pisano, Pisano G, Enrico Erdas, Erdas E, E Erdas, Ledda S, S Ledda, B Casu, Casu B, M V Cherchi, Cherchi MV, Maria Valeria Cherchi, M Pomata, Pomata M, Giovanni Maria Daniele, Daniele GM, G M Daniele
Hernia : the journal of hernias and abdominal wall surgery · 2005 · vol. 9(3) , pp. 294–297 · doi:10.1007/s10029-004-0314-6 · PMID:15703860 · W2020887267
review OA: closed CC0 ⤵ 42 in-corpus citations
Full text JSON View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by claude@2026-06+body, 2026-06-12 ⓘ

This case describes a 29-year-old woman with endometriosis of the round ligament, presenting as a painful inguinal lump that changed with her menstrual cycle.

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

⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This paper reports a clinical case of a 29-year-old woman with a painful, enlarging right inguinal mass that increased in size and pain around menstruation, with imaging support from ultrasonography and MRI. Surgical removal included the mass and an extraperitoneal segment of the round ligament, and histology confirmed endometriosis of the round ligament. The authors emphasize that an inguinal lump accompanied by cyclical subjective and objective changes should raise suspicion for endometriosis among differential diagnoses, supported by a brief literature review of rare extragenital presentations. This paper is centrally about endometriosis — specifically endometriosis of the round ligament presenting as an inguinal mass with cyclical symptoms.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

We report a case of endometriosis of the round ligament in a 29-year-old woman, who complained of a lump with a diameter of about 2.5 cm in the right inguinal region, which increased in bulk and was accompanied by intense pain during the menstrual period. The clinical suspicion of inguinal endometriosis, supported by ultrasonography and Magnetic Resonance (MR), was confirmed by histological examination of the surgical specimen, which included the mass and the extraperitoneal segment of the round ligament. The authors conclude that the appearance of a lump in the inguinal region associated with subjective and objective changes of the lesion in relation to the menstrual cycle must raise the suspicion of endometriosis among the possible diagnoses.
Full text 5,025 characters · extracted from oa-doi-fallback · 2 sections · click to expand

Abstract

We report a case of endometriosis of the round ligament in a 29-year-old woman, who complained of a lump with a diameter of about 2.5 cm in the right inguinal region, which increased in bulk and was accompanied by intense pain during the menstrual period. The clinical suspicion of inguinal endometriosis, supported by ultrasonography and Magnetic Resonance (MR), was confirmed by histological examination of the surgical specimen, which included the mass and the extraperitoneal segment of the round ligament. The authors conclude that the appearance of a lump in the inguinal region associated with subjective and objective changes of the lesion in relation to the menstrual cycle must raise the suspicion of endometriosis among the possible diagnoses. Similar content being viewed by others

References

Astore L (1980) In tema di localizzazioni infrequenti della cosiddetta “endometriosi esterna” (intestinale, inguinale, ombelicale, su cicatrice). Arch De Vecchi Anat Patol 64:19–58 Bergqvist A (1993) Different types of extragenital endometriosis: a review. Gynecol Endocrinol 7:207–221 Proposito D, Negro P, Gossetti F, Di Paola M, Montemurro L, Gallina S, Veltri S, Corazza V, Brugiotti C, Antonellis F, Uccini S, Carboni M (2002) Endometriosi extrauterina: quale interesse per il chirurgo generale? Presentazione di 3 casi clinici e revisione della letteratura. Chir Ital 54:699–708 Cameron IC, Rogers S, Collins MC, Reed MW (1995) Intestinal endometriosis: presentation, investigation and surgical management. Int J Colorectal Dis 10:83–86 Candiani GB, Vercellini P, Fedele L, Vendola N, Carinelli S, Scaglione V (1991) Inguinal endometriosis: pathogenetic and clinical implications. Obstet Gynecol 78:191–194 Chatterjee SK (1980) Scar endometriosis: a clinicopathologic study of 17 cases. Obstet Gynecol 56:81–84 Clausen I, Nielsen KT (1987) Endometriosis in the groin. Int J Gynaecol Obstet 25:469–471 Khetan N, Torkington J, Watkin A, Jamison MH, Humphreys WH (1999) Endometriosis: presentation to general surgeons. Ann Roy Coll Surg 81:255–259 Ledda S, Licheri S, Casu B, Martinasco L, Pulix N, Ambu R, Pisano G, Pomata M, Daniele GM (2002) Endometriosi della cicatrice ombelicale: descrizione di un caso clinico e revisione della letteratura. Chir Ital 54:405–408 Singh KK, Lessels AM, Adam DJ, Jordan C, Miles WFA (1995) Presentation of endometriosis to general surgeon: a 10-year experience. Brit J Surg 82:1349–1351 Succi L, Urrico GS, Politi A, Scollo P, Prumeri S, Campione S, Lateri F (2001) Colorectal endometriosis : aggressive surgical management and practical considerations in a patient with advanced disease. Chir Ital 53:713–716 Gleeson RE, Horgan LF (1997) Endometriosis in an inguinal hernia. Hernia 1:147–148 Miranda L, Settembre A, Capasso P, Piccoboldi D, De Rosa N, Corcione F (2001) Inguinal endometriosis or irriducible hernia? A difficult preoperative diagnosis. Hernia 5:47–49 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 Strasser EJ, Davis RM (1977) Extraperitoneal inguinal endometriosis. Am Surg 43:421–422 Baccoli A, Mais V, Pani C, Musu S, Milesi M, Farina GP (1999) Endometriosi del canale inguinale. Contributo clinico. Giorn It Ost Gin 12:579–582 Boggi U, Del Chiaro M, Pietrabissa A, Mosca F (2001) Extrapelvic endometriosis associated with occult groin hernias. J Can Chirurg 44:224 Calabrese L, Delmonte O, Mari R (1997) L’endometriosi della parete addominale. Caso clinico e revisione della letteratura. Acta Biomed L’Ateneo Parmense 68:35–43 Klein AE, Bauer TW, Marks KE, Belinson JL (1999) Papillary clear cell adenocarcinoma of the groin arising from endometriosis. Clin Orthop 361:192–198 Elemenoglu J, Skopelitou A, Nomikos I (1993) Carcinoma in the inguinal region arising from endometriosis of the round ligament. Report of a case. Eur J Gynaecol Oncol 4:28–32 Wolf C, Obrist P, Esinger C (1997) Sonographic features of abdominal wall endometriosis. Am J Roentgenol 169:916–917 Amato M, Levitt R (1984) Abdominal wall endometrioma: CT findings. J Comput Assist Tomo 8:1213–1214 Gitelis S, Petasnick JP, Turner DA, Ghiselli RW, Miller III AW (1985) Endometriosis simulating a soft tissue tumor of the thigh. J Comput Assist Tomo 9:573–576 Perez-Seoane C, Vargas J, de Augustin P (1991) Endometriosis in an inguinal-crural hernia: diagnosis by fine needle aspiration biopsy. Acta Cytol 35:350–352 Griffin JB, Betsill WL (1985) Subcutaneous endometriosis diagnosed by fine needle aspiration cytology. Acta Cytol 29:584–589 Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Licheri, S., Pisano, G., Erdas, E. et al. Endometriosis of the round ligament: description of a clinical case and review of the literature. Hernia 9, 294–297 (2005). https://doi.org/10.1007/s10029-004-0314-6 Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s10029-004-0314-6

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

endometriosis

MeSH descriptors

Endometriosis Round Ligament of Uterus Adult Endometriosis Endometriosis Endometriosis Female Groin Humans Round Ligament of Uterus

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 (25)

Cited by (42)

Source provenance

europepmc
last seen: 2026-07-26T06:08:39.051465+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:15:47.114534+00:00
License: CC0 · commercial use OK