The Groin Endometriosis: A Great Mimicker of Common Groin Conditions

Jena, Saubhagya Kumar; Begum, Jasmina; Kumari, Supriya; Kar, Chinmayee

doi:10.1089/gyn.2019.0090

Cited by 4 publications

(1 citation statement)

References 14 publications

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“…Inguinal EM (IEM) occurs in 0.3% to 0.6% of patients affected by EM, a rare form of extraperitoneal partial round ligament involvement. It is often confused with other groin pathologies and is mostly diagnosed during histological examination[ 3 , 4 ]. IEM was first described by in 1986[ 5 ], and to date, fewer than 150 cases have been reported in the literature[ 6 ].…”

Section: Introductionmentioning

confidence: 99%

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: Introductionmentioning

confidence: 99%

Inguinal endometriosis: Ten case reports and review of literature

Li¹,

Sun²,

Li³

et al. 2021

WJCC

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Inguinal endometriosis: a case series and review of the literature

Haghgoo,

Faegh,

Mostafavi

et al. 2024

J Med Case Reports

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Background Inguinal endometriosis is one of the most common forms of endometriosis. The present study introduces 8 cases of inguinal endometriosis and discusses probable theories of inguinal endometriosis by reviewing the literature. Case presentation 8 Iranian cases of inguinal endometriosis with a mean age of 36 years were presented. Catamenial groin pain and swelling were the most common complications. Also, patients usually had accompanying symptoms such as pelvic pain and dysmenorrhea. One-half of patients had a history of previous abdominal surgery. Ultrasound was diagnostic in 4 patients (50%), and magnetic resonance imaging was used in two patients (25%). Among 6 patients who underwent hormonal therapy, 4 experienced an endometriosis size increase. Inguinal endometriosis was right-sided in 87.5% of patients, and among 4 patients who underwent surgery, 75% had proximal site involvement of the round ligament. Conclusion According to the rarity of inguinal endometriosis, it is more likely to be a misdiagnosis with other inguinal disorders such as inguinal hernia. Inguinal endometriosis should be considered in patients who undergo inguinal herniorrhaphy, with suspected findings such as thickening of the hernia sac wall, bloody fluid inside the sac, or thickening of the extraperitoneal round ligament during the surgery.

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