Scar endometriosis manifested as a recurrent inguinal hernia
Case report
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⤵ 14 in-corpus citations
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A recurrent inguinal hernia in a young woman was ultimately diagnosed as scar endometriosis originating from a prior cesarean section incision.
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Abstract
A 24-year-old woman was initially found to have a right inguinal hernia that occurred suddenly after heavy lifting. A right direct inguinal hernia was found during the initial operative procedure. The round ligament was excised, the internal ring was closed, and the hernia was repaired with mesh placed on the floor of the inguinal canal. Four months after an uneventful postoperative recovery, the patient returned with pain in the right inguinal area. Over the next 2 months, a deep painful bulge developed. Inguinal exploration revealed an endometrioma rather than recurrent inguinal hernia. A portion of the original hernia incision included part of a previous Pfannenstiel incision made 3 years previously for a cesarean section. Scar endometriosis most probably occurred from peritoneal seeding from the Pfannenstiel incision and mimicked the findings of a recurrent inguinal hernia.
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Cited by (14)
- Surgical approach to coexistent inguinal endometriosis and inguinal hernial defect: a case report 2023
- Inguinal endometriosis: Ten case reports and review of literature 2021
- Heterotopic Endometriosis in the Inguinal Region: A Case Report and Literature Review 2019
- Clinical aspects and management of inguinal endometriosis: A case series of 20 patients 2019
- Jack in the box: inguinal endometriosis 2015
- Inguinal endometriosis in a patient without a previous history of gynecologic surgery 2014
- Endometriosis of the Inguinal Region, Case Report 2014
- Endometriosis of Inguinal Canal – A Case Report 2014
- Frequently Misdiagnosed Extrapelvic Endometriosis Lesions: Case Reports and Review of the Literature 2014
- Inguinal endometriosis: a case report 2012
- Inguinal endometriosis: an uncommon differential diagnosis as an inguinal tumour 2010
- Endometriosis mimicking hernia recurrence 2006
- Casos Clínicos / Radiological Case Reports 2005
- Endometrioma of the abdominal wall masquerading as hernia 2004
Source provenance
- europepmc
- last seen: 2026-10-10T06:11:15.153948+00:00
- openalex
- last seen: 2026-06-04T00:00:01.174412+00:00
- pubmed
- last seen: 2026-10-08T20:59:46.244316+00:00
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