Frequently Misdiagnosed Extrapelvic Endometriosis Lesions: Case Reports and Review of the Literature

Abstract

Extrapelvic endometriosis is a rare condition defined as the presence of endometriotic stroma and glands outside the pelvis and elsewhere in the body. The cervix, vagina, vulva, intestinal tract, urinary tract, diaphragm, abdominal wall, inguinal canal, thoracic cage and lungs, extremities and even the central and peripheral nervous system can be involved. Because extrapelvic endometriosis is located in unusual sites, it is often confused with other pathologic conditions. This can lead to a difficult and challenging diagnosis and management. In the presence of recurrent, cyclical and catamenial symptoms, extragenital endometriotic lesions should be suspected. The aim of our paper is to report 9 cases of rare locations of extrapelvic endometriosis and to provide a literature review. © 2014 Wichtig Publishing

Endometriosis: 10 Keys Points for MRI

“…Inguinal endometriosis occurs in 0.5% of cases and in 90% of cases on the right side. More than 50% of cases with rare sites of endometriosis are associated with pelvic endometriosis (67)(68)(69)(70)(71).…”

“…Atypical sites of involvement include abdominal wall, groin, inguinal canal, nerves, lymph nodes inside the pelvis, liver, diaphragm and thorax (67). Thoracic endometriosis represents about 3% of extrapelvic endometriosis cases and mainly manifests with catamenial pneumothorax (70% of cases) or less frequently hemothorax.…”