Journal
INTERNATIONAL JOURNAL OF REPRODUCTIVE BIOMEDICINE
Volume 20, Issue 1, Pages 59-64Publisher
SHAHID SADOUGHI UNIV MEDICAL SCIENCES
DOI: 10.18502/ijrm.v20i1.10409
Keywords
Endometriosis; Inguinal; Ultrasound; Case report
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Funding
- Iran University of Medical Science
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Inguinal endometriosis is a rare disease that manifests as painful inguinal masses during menstrual cycles. It is more commonly found on the right side and is often associated with a history of surgery.
Background: The first case of inguinal endometriosis was described by Cullen. Endometriosis in the round ligament could be in the pelvic or inguinal area and is a rare disease occurring in 0.6% of women. Women with inguinal endometriosis have a painful inguinal mass during menstrual cycles and they mostly have a history of surgery. The right side is more commonly involved in inguinal endometriosis than the left side (90-94%). A history of gynecologic or abdominal surgery is common in women with inguinal endometriosis. Case presentation: In our case, a 39-yr- old virgin woman presented with localized pain in the right inguinal that had been present for 4 yr. She did not have any history of previous surgery, and abdominal ultrasonography showed a hypoechoic mass with minimal vascularity. Inguinal endometriosis was correctly diagnosed by two expert radiologists preoperatively, and she underwent laparoscopic surgery. Conclusion: Considering inguinal endometriosis in the differential diagnosis of women with inguinal masses is important, even if there is no history of gynecologic or abdominal surgery.
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