Inguinal endometriosis treated via laparoscopic resection: A case report

This Japanese case report describes a rare instance of inguinal endometriosis treated with laparoscopic excision in a 50-year-old woman who had right inguinal pain and a palpable mass sensation despite prior dienogest therapy. Using transabdominal ultrasonography and magnetic resonance imaging, the authors diagnosed a hematoma-like mass within the right femoral arteriovenous vein region as right inguinal endometriosis, and pathology confirmed endometriosis after removal of an approximately 1 cm mass with peripheral expansion of the right round ligament. The patient also had uterine fibroids and a left ovarian endometriotic cyst, so the authors performed a total laparoscopic hysterectomy, bilateral oophorectomy/salpingectomy as specified, and concurrent right inguinal mass resection. The paper notes the major limitation that, as a single case report, it provides no generalizable evidence beyond this clinical scenario. This paper is centrally about endometriosis — specifically a laparoscopic management case of inguinal endometriosis with concomitant intra-pelvic disease.

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