Inguinal endometriosis: a rare entity of a common condition 

Article Text Abstract A woman in her mid-40s experienced a painful lump in the right groin area for 5 years, with exacerbation during menstruation, coughing and sneezing. Initial treatment with depot methylprednisolone acetate injection was ineffective. 2 years later, at a different hospital, an endometriotic mass was identified in the right inguinal region, and excision was not performed because of the propensity for vascular injury; instead, three doses of depot medroxyprogesterone acetate significantly alleviated the pain. When she presented to our hospital, a provisional diagnosis of right inguinal endometriosis was made after an ultrasound examination. A multidisciplinary approach involving a surgeon was employed for excision surgery, with meticulous attention given to avoiding femoral vein injury. This case study underscores the importance of collaboration between specialties for accurate diagnosis and effective surgical management of inguinal endometriosis. Preoperative imaging is useful, but the final diagnosis can be confirmed only after surgical excision and histopathology. - Pain - Obstetrics, gynaecology and fertility Statistics from Altmetric.com Footnotes Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: SNKR, EDG, IK and NS. The following authors gave final approval of the manuscript: SNKR, EDG, IK and NS. SNKR is the guarantor. Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors. Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy. Competing interests None declared. Provenance and peer review Not commissioned; externally peer reviewed.