Document Detail

A rare extrapelvic endometriosis: inguinal endometriosis.
MedLine Citation:
PMID:  20337210     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To study the diagnosis and treatment of inguinal endometriosis. STUDY DESIGN: A retrospective study was made of 9 patients presenting with inguinal endometriosis between January 1986 and November 2008. RESULTS: The incidence of inguinal endometriosis was 0.07% among a total of 13,352 patients with endometriosis treated. Eight of 9 patients (88.9%) had lesions on the right side. The symptoms in 6 patients fluctuated with menses. Only in 3 of them with cyclic symptoms was inguinal endometriosis suspected preoperatively. Symptomatic complaints ranged from 3 months to 10 years, with an average interval of 3 years. Eight patients received complete excision of inguinal lumps. One patient with a lump of 5 cm in diameter underwent a wide excision including the extraperitoneal portion of the round ligament. Four cases underwent pelvic exploration at the same time, and it revealed the coexistence of ovarian endometriomas. No one showed recurrence in the groin on follow-up of 19-96 months. CONCLUSION: Inguinal endometriosis is rare and often diagnosed accidentally. It is mostly right-sided and concomitant with pelvic endometriosis. The surgical procedure is complete excision of the mass. Pelvic exploration should be performed if necessary.
Zhi-Jing Sun; Lan Zhu; Jing-He Lang
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  55     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:    2010 Jan-Feb
Date Detail:
Created Date:  2010-03-26     Completed Date:  2010-05-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  62-6     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, 1 Shuaifuyuan Dongcheng District, Beijing 100730, China.
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MeSH Terms
Endometriosis / diagnosis*,  epidemiology,  pathology,  surgery*
Inguinal Canal / pathology*,  surgery
Middle Aged
Retrospective Studies
Round Ligament / pathology*,  surgery

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