Extrapelvic endometriosis presenting as a hernia: clinical reports and review of the literature.
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This paper reports two cases of extrapelvic endometriosis presenting as hernias, one in the inguinal region and one in the abdominal wall, and reviews the literature on this rare condition.
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Abstract
Endometriosis is a common gynecologic diagnosis. Typical complaints of patients with pelvic endometriosis include dysmenorrhea, menstrual irregularities, dyspareunia, and infertility. Endometriosis may also occur in extrapelvic sites and cause unusual symptoms and diagnostic dilemmas. Endometriosis has been described in the inguinal region, and this is illustrated in the first case history. The tender inguinal masses often fluctuate with the menstrual cycle but the condition initially may be confused with an inguinal hernia. Treatment is surgical. Abdominal wall scar endometriosis, seen in the second case, has been described in patients after a wide variety of gynecologic procedures. This also is initially noted as a tender mass, usually fluctuating with menstruation, and is often confused with an incisional hernia. Again, surgery is the treatment of choice. Pathologic features of endometriosis are constant, regardless of location. Microscopically, endometrial glands and stroma, fibrosis, chronic inflammation, and old hemorrhage are seen. Familiarity with the unusual types of endometriosis is important to the general surgeon.
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- Caesarean Scar Endometriosis: Analysis of Three Cases in Our Clinic 2015
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- Liver endometriosis presenting as a liver mass associated with high blood levels of tumoral biomarkers 2013
- Clinicopathologic review of extrapelvic endometriosis 2012
- Hepatic endometrioma: a case report and review of the literature: report of a case 2012
- Abdominal wall endometriosis: case report. 2012
- A Groin Lump – Canal of Nuck ‘Endometriocele’: Case Report 2012
- Abdominal scar endometriosis after caesarean section: report of five cases. 2011
- Falsa hernia inguinal por endometriosis en el ligamento redondo 2010
- Case Hepatic Endometriosis: A Continuing Diagnostic Dilemma 2009
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- Endometriosis of the groin hernia sac: report of a case and review of the literature 2009
- Magnetic resonance imaging findings of extrapelvic endometriosis of the round ligament 2009
- Spontaneous Endometriosis of the Abdominal Wall 2009
- ENDOMETRIOMA DE MÚSCULO RECTO ABDOMINAL EN PACIENTE CON CICATRIZ DE CESÁREA 2008
- A CASE OF ENDOMETRIOSIS WITH A MASS IN THE INGUINAL REGION 2008
- Endometriosis of the inguinal region: Magnetic resonance imaging (MRI) findings 2007
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- [Is extrauterine endometriosis confined to the gynecological sphere? A critical review of the experience in a general surgery unit]. 2007
- Radical Excision of Inguinal Endometriosis 2007
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- Dierential diagnosis of an incarcerated inguinal hernia: extraperitoneal endometrioma of the round ligament 2006
- Endometriosis mimicking hernia recurrence 2006
- Endometriosis of the round ligament: description of a clinical case and review of the literature 2005
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- Extraperitoneal endometriosis: a diagnosis to be considered 2004
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- Scar Endometriosis Developing After an Umbilical Hernia Repair with Mesh 2004
- Abdominal wall endometriosis. An overlooked diagnosis 2003
- A case of endometriosis in an external inguinal hernia. 2002
- Caesarean section scar endometriosis: two cases of recurrent disease and a literature review 2002
- Inguinal endometriosis or irreducible hernia? A difficult preoperative diagnosis 2001
- Abdominal Scar Endometrioma Mimicking Incisional Hernia: A Diagnostic Pitfall 2001
- Endometriomas de pared abdominal: aspectos diagnósticos 2001
- Extrapelvic Endometriosis: A Case Report and Review of the Literature 2000
- Incisional hernia involving a fallopian tube and mimicking scar endometriosis 2000
- Inguinal Endometriosis: a Report of Two Cases and a Review of the Literature 2000
- Diagnostic value of radiological tests in chronic pelvic pain 2000
- Endometriosis: presentation to general surgeons. 1999
- Endometriosis of the extraperitoneal portion of the round ligament: US and CT findings 1996
- Endometrioma of the vagina in menopause 1996
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