Primary bilateral inguinal endometriosis: A case report
Eduardo C Ayuste1, Emmanuel T Limpin2, Jemuel C Laygo3
1University of the Philippines-Philippine General Hospital, Department of Surgery, Philippines; College of Medicine, University of the Philippines-Manila, Philippines.
International Journal of Surgery Case Reports
|March 26, 2022
Summary
This case study details a rare instance of endometriosis in the inguinal area, presenting as cyclical pain in a 40-year-old female. Surgical removal proved effective, with no recurrence observed at six months post-operation.
Area of Science:
- Gynecology
- Surgical Case Reports
Background:
- Endometriosis is a common gynecologic condition affecting 10% of women globally.
- Characterized by endometrial tissue outside the uterus, causing pain and other symptoms.
- While typically pelvic, endometriosis can occur in extra-pelvic locations.
Purpose of the Study:
- To present a rare case of primary bilateral inguinal endometriosis.
- To discuss the diagnostic challenges and effective management of this condition.
- To highlight atypical presentations of endometriosis.
Main Methods:
- A case report of a 40-year-old female with inguinal endometriosis.
- Surgical excision as the definitive treatment.
- Follow-up assessment for recurrence and symptom resolution.
Main Results:
- The patient presented with catamenial (cyclical) pain due to inguinal endometriosis.
- Surgical excision successfully treated the condition.
- No recurrence was noted at the 6-month follow-up.
Conclusions:
- Inguinal endometriosis is an uncommon but recognized extra-pelvic manifestation.
- It can mimic other conditions like hernias, posing a diagnostic challenge.
- Surgical intervention offers a definitive treatment option for symptomatic inguinal endometriosis.
