Endometriosis: unusual cause of groin swelling

Rajendran, Simon; Khan, Ata; O’Hanlon, Deirdre; Murphy, M. Dianne

doi:10.1136/bcr-2012-007526

Cited by 2 publications

(2 citation statements)

References 2 publications

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“…In our study, 8 patients had a right IH, which thus may be one of the causes for the formation of right IEM. The exact pathogenesis of IEM has not been well explained[ 15 , 22 ]. In the present study, most of the patients with IEM had IHs on the same side, and approximately half of the patients also had pelvic EM.…”

Section: Discussionmentioning

confidence: 99%

“…Although catamenial symptoms should increase the index of suspicion for IEM[ 3 , 8 , 9 , 19 ], typical catamenial symptoms are present in only 50% of IEM cases. Due to the uncommon location of IEM lesions, symptomatic patients usually see a general surgeon rather than a gynecologist[ 3 , 6 , 15 , 17 , 19 , 20 ], and the diagnosis is frequently incidental or is made upon histologic examination.…”

Section: Discussionmentioning

confidence: 99%

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Inguinal endometriosis: Ten case reports and review of literature

Li¹,

Sun²,

Li³

et al. 2021

WJCC

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BACKGROUND To describe the characteristics, diagnosis and surgical treatment of inguinal endometriosis (IEM). CASE SUMMARY We retrospectively analyzed 10 patients diagnosed with IEM at Beijing Chao-Yang Hospital from 2011 to 2019. Relevant features, symptoms, images, surgical treatment, hormonal therapy and follow-up were collected and discussed. A total of 10 cases of IEM diagnosed by surgery and pathology were characterized by a lesion on the right side (9/11); five patients had symptoms related to the menstrual cycle, and only 3 patients were clearly diagnosed before surgery. Ultrasonography was of little assistance in confirming the diagnosis, but magnetic resonance imaging showed specific, high-intensity patterns. Anatomically, most of the IEM lesions were located in the extraperitoneal ligament (10/11); nine patients had inguinal hernias (IH), five had concurrent or prior pelvic endometriosis, and four had infertility. The clinical results from extensive resection were satisfactory. CONCLUSION IEM is an extremely rare condition that can easily be misdiagnosed prior to surgery. A right IH may contribute to the formation of right-sided IEM, and extensive resection involving the round ligament and hernia sac is essential to prevent recurrence.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Inguinal endometriosis: Ten case reports and review of literature

Li¹,

Sun²,

Li³

et al. 2021

WJCC

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Rare extragenital endometriosis: pathogenesis and therapy

Fedele¹,

Fatta²,

Busnelli³

et al. 2022

Clin. Exp. Obstet. Gynecol.

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Background: In the context of extragenital endometriosis, the gastrointestinal, urinary tract, abdominal wall, and thorax localizations are considered relatively frequent, while the umbilical, inguinal, sciatic nerve, liver, and pancreas are instead "rare". Methods: Online searches were carried out in PubMed database of the last 20 years for these terms: extragenital endometriosis, umbilical endometriosis, inguinal endometriosis, sciatic nerve endometriosis, hepatic and pancreatic endometriosis. The following exclusion criteria were used:(1) Personal surgical history unspecified. (2) Nonspecific histological diagnosis for each type of endometriosis examined. (3) Inability to distinguish between the personal series of the author and the case reports described. (4) Proceedings of scientific meetings were not included. Tables that are easy to consult were compiled. Results: 810 titles were found among which 162 studies were selected for reading in full text and finally 114 papers were included, which met the objective of the revision. The so-called "rare" forms of extragenital endometriosis show an unsuspected frequency, an extreme variability of presentation, and uncertain treatment guidelines. Discussion: Gynecologists, general surgeons, and neurologists should be well acquainted with these pathologies to avoid confusing diagnostic paths and to set up adequate therapies.

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Endometriosis: unusual cause of groin swelling

Cited by 2 publications

References 2 publications

Inguinal endometriosis: Ten case reports and review of literature

Inguinal endometriosis: Ten case reports and review of literature

Rare extragenital endometriosis: pathogenesis and therapy

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